Putnam, Thomas Alan

Putnam, Thomas Alan is an individual health care provider with primary practice located at 20 W Fairmount Ave , Lakewood NY 14750-1702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Putnam, Thomas Alan can be contacted via phone (716) 338-0033.

Contact Information

Primary practice address
20 W Fairmount Ave Lakewood NY 14750-1702
Phone: (716) 338-0033
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 154630-2 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 154630 New York

Profile Details

NPI number 1598883506
LBN Legal business name Putnam, Thomas Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Dec 13th, 2019 - about 5 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 1598883506 NPPES
Other J400082246 PTAN
MEDICAID 00639487 PTAN

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