Putnam, Nicholas Herkimer

Putnam, Nicholas Herkimer is an sole proprietor health care provider with primary practice located at 4401 Manchester Ave Suite #101, Encinitas CA 92024-4938. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Putnam, Nicholas Herkimer can be contacted via phone (760) 753-4564.

Contact Information

Primary practice address
4401 Manchester Ave Suite #101 Encinitas CA 92024-4938
Phone: (760) 753-4564
Fax: (760) 753-1541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G27562 California
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X G27562 California

Profile Details

NPI number 1124178900
LBN Legal business name Putnam, Nicholas Herkimer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Jul 9th, 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 1124178900 NPPES
California MEDICAID G0027562

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