Puente, Antonio E

Puente, Antonio E is an sole proprietor health care provider with primary practice located at 1508 Military Cutoff Road Ste 303, Wilmington NC 28403. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Puente, Antonio E can be contacted via phone (910) 509-9371.

Contact Information

Primary practice address
1508 Military Cutoff Road Ste 303 Wilmington NC 28403
Phone: (910) 509-9371
Fax: (910) 509-9372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X NC0831 North Carolina

Profile Details

NPI number 1508968843
LBN Legal business name Puente, Antonio E
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2006
Last updated Jul 21st, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508968843 NPPES
Other 04461 BCBS

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