Putnam, Martha

Putnam, Martha is an individual health care provider with primary practice located at 5875 S Transit Rd , Lockport NY 14094-6340. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Putnam, Martha can be contacted via phone (716) 433-3053.

Contact Information

Primary practice address
5875 S Transit Rd Lockport NY 14094-6340
Fax: (716) 433-3118
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F4203051 New York

Profile Details

NPI number 1548233745
LBN Legal business name Putnam, Martha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1548233745 NPPES
New York Other 00010301401 UNIVERA
New York MEDICAID 01735648 UNIVERA
New York Other 0709051 UNIVERA
New York Other 000560461003 UNIVERA

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