Van Putten, Erika Sandra

Van Putten, Erika Sandra is an individual health care provider with primary practice located at 3405 Dallas Hwy Sw Ste 300 , Marietta GA 30064-6426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Van Putten, Erika Sandra can be contacted via phone (770) 425-5331.

Contact Information

Primary practice address
3405 Dallas Hwy Sw Ste 300 Marietta GA 30064-6426
Phone: (770) 425-5331
Fax: (770) 425-0799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 055497 Georgia

Profile Details

NPI number 1538240353
LBN Legal business name Van Putten, Erika Sandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Mar 3rd, 2014 - about 11 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 1538240353 NPPES
Georgia MEDICAID 197955033B
Georgia MEDICAID 197955033D
Georgia MEDICAID 197955033C

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