Putnam, Jennifer Robin

Putnam, Jennifer Robin is an individual health care provider with primary practice located at 1342 S Douglas Blvd Suite A, Midwest City OK 73130-5215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Putnam, Jennifer Robin can be contacted via phone (405) 455-3322.

Contact Information

Primary practice address
1342 S Douglas Blvd Suite A Midwest City OK 73130-5215
Phone: (405) 455-3322
Fax: (405) 455-3358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2115 Oklahoma

Profile Details

NPI number 1366775611
LBN Legal business name Putnam, Jennifer Robin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2009
Last updated Feb 14th, 2017 - about 8 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 1366775611 NPPES
Other 208362023 GROUP TAX-ID

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