Putnam, John Leslie

Putnam, John Leslie is an sole proprietor health care provider with primary practice located at 4350 S National Ave Suite C200, Springfield MO 65810-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Putnam, John Leslie can be contacted via phone (417) 447-1000.

Contact Information

Primary practice address
4350 S National Ave Suite C200 Springfield MO 65810-2607
Phone: (417) 447-1000
Fax: (417) 447-6150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X R6H15 Missouri

Profile Details

NPI number 1871569111
LBN Legal business name Putnam, John Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Nov 20th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871569111 NPPES
Missouri MEDICAID 202509428

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