Fox-Putnam, Angela Marie

Fox-Putnam, Angela Marie is an sole proprietor health care provider with primary practice located at 612 S Main St , Mount Holly NC 28120-1653. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fox-Putnam, Angela Marie can be contacted via phone (704) 822-0099.

Contact Information

Primary practice address
612 S Main St Mount Holly NC 28120-1653
Phone: (704) 822-0099
Fax: (704) 822-0077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1387 North Carolina

Profile Details

NPI number 1992785836
LBN Legal business name Fox-Putnam, Angela Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Jan 14th, 2010 - about 16 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 1992785836 NPPES
North Carolina Other 0928G BLUE CROSS BLUE SHIELD
North Carolina Other 12304 BLUE CROSS BLUE SHIELD
North Carolina Other 4622 BLUE CROSS BLUE SHIELD
North Carolina Other OP069 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 890928G BLUE CROSS BLUE SHIELD

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