Putman, Mollie R
Putman, Mollie R is an individual health care provider with primary practice located at 1345 Unity Pl 210, Lafayette IN 47905-5760. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Putman, Mollie R can be contacted via phone (765) 446-5432.Contact Information
Primary practice address
1345 Unity Pl 210
Lafayette IN 47905-5760
Phone: (765) 446-5432
Fax: (765) 446-5431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | 114045 | Indiana |
Profile Details
| NPI number | 1942588769 |
|---|---|
| LBN Legal business name | Putman, Mollie R |
| Credentials | Certified Surgical Technologist (CST) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2011 |
| Last updated | Aug 13th, 2015 - about 9 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 | 1942588769 | NPPES |
| Indiana | Other | 114045 | CST LICENSE |
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