Van Putten, Douglas J
Van Putten, Douglas J is an individual health care provider with primary practice located at 11370 Anderson St # 1800 , Loma Linda CA 92354-3450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Van Putten, Douglas J can be contacted via phone (909) 558-2154.Contact Information
Primary practice address
11370 Anderson St # 1800
Loma Linda CA 92354-3450
Phone: (909) 558-2154
Fax: (909) 558-2180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01039408A | Indiana |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 01039408A | Indiana |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G58345 | California |
Profile Details
| NPI number | 1851378558 |
|---|---|
| LBN Legal business name | Van Putten, Douglas J |
| Credentials | MD,FACS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Sep 25th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851378558 | NPPES |
| Indiana | Other | 01039408A | PHYSICIAN LICENSE |
| Indiana | MEDICAID | 100335580 | PHYSICIAN LICENSE |
| Indiana | Other | 000000342157 | PHYSICIAN LICENSE |
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