Edward J Puttre Jr Md Inc

LBN: Edward J Puttre Jr Md Inc
Edward J Puttre Jr Md Inc is an health care organization with primary practice located at 1800 Western Ave Suite 101, San Bernardino CA 92411-1356. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Edward J Puttre Jr Md Inc can be contacted via phone (909) 887-3937, or through Puttre, Edward J via phone (909) 887-3937.

Contact Information

Primary practice address
1800 Western Ave Suite 101 San Bernardino CA 92411-1356
Phone: (909) 887-3937
Fax: (909) 887-9698
Website:
Map and Directions
Authorized official contact:
Name: Puttre, Edward J Doctor of Medicine (MD)
Phone: (909) 887-3937

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G22264 California

Profile Details

NPI number 1336281443
LBN Legal business name Edward J Puttre Jr Md Inc
DBA Doing business as
Authorized official Puttre, Edward J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 23rd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336281443 NPPES
California MEDICAID 00G222640

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