Puckett, Richard

Puckett, Richard is an individual health care provider with primary practice located at 2618 Emerald Dr , Grand Rapids MN 55744-5060. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Puckett, Richard can be contacted via phone (218) 327-9013.

Contact Information

Primary practice address
2618 Emerald Dr Grand Rapids MN 55744-5060
Phone: (218) 327-9013
Fax: (218) 327-9013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1835 Minnesota

Profile Details

NPI number 1639275761
LBN Legal business name Puckett, Richard
Credentials LPMED
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 9th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639275761 NPPES
Minnesota Other 223G6PU BLUE CROSS BLUE SHIELD MN
Minnesota Other 6254190 BLUE CROSS BLUE SHIELD MN

Popular Providers