Putnam, Derron Keith

Putnam, Derron Keith is an individual health care provider with primary practice located at 1307 W 6Th St # 109 , Corona CA 92882-1642. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Putnam, Derron Keith can be contacted via phone (951) 279-1333.

Contact Information

Primary practice address
1307 W 6Th St # 109 Corona CA 92882-1642
Phone: (951) 279-1333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California

Profile Details

NPI number 1033365127
LBN Legal business name Putnam, Derron Keith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated May 5th, 2011 - about 13 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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