Puckett, Joy
Puckett, Joy is an sole proprietor health care provider with primary practice located at 227 Valley View Dr , Waverly OH 45690-9135. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Puckett, Joy can be contacted via phone (740) 947-7726.Contact Information
Primary practice address
227 Valley View Dr
Waverly OH 45690-9135
Phone: (740) 947-7726
Fax: (740) 947-9354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.160032 | Ohio |
Profile Details
| NPI number | 1427509884 |
|---|---|
| LBN Legal business name | Puckett, Joy |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2016 |
| Last updated | Sep 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427509884 | NPPES |
| Ohio | MEDICAID | 0190004 |
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