Puckett, Paul Andrew
Puckett, Paul Andrew is an individual health care provider with primary practice located at 2360 Mullan Rd Suite C, Missoula MT 59808-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Puckett, Paul Andrew can be contacted via phone (406) 721-4436.Contact Information
Primary practice address
2360 Mullan Rd Suite C
Missoula MT 59808-1811
Phone: (406) 721-4436
Fax: (406) 721-6053
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 8250 | Montana |
Profile Details
NPI number | 1174502017 |
---|---|
LBN Legal business name | Puckett, Paul Andrew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 10th, 2006 |
Last updated | Dec 12th, 2019 - about 5 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 | 1174502017 | NPPES |
Montana | MEDICAID | 0017051 |
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