Putland, Michael Stuart

Putland, Michael Stuart is an individual health care provider with primary practice located at 14200 W Fillmore St , Goodyear AZ 85338-3005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Putland, Michael Stuart can be contacted via phone (623) 207-3000.

Contact Information

Primary practice address
14200 W Fillmore St Goodyear AZ 85338-3005
Phone: (623) 207-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME88971 Florida

Profile Details

NPI number 1679576615
LBN Legal business name Putland, Michael Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 30th, 2010 - about 15 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 1679576615 NPPES
Florida Other 82513 INDIVIDUAL BCBS ID NUMBER
Florida Other 99039 INDIVIDUAL BCBS ID NUMBER
Florida MEDICAID 000925383B INDIVIDUAL BCBS ID NUMBER
Florida Other AJ564 INDIVIDUAL BCBS ID NUMBER
Florida MEDICAID 268691100 INDIVIDUAL BCBS ID NUMBER
Florida Other P00625816 INDIVIDUAL BCBS ID NUMBER

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