Gupta, Puneet
Gupta, Puneet is an individual health care provider with primary practice located at 1225 S Gear Ave Ste 254, West Burlington IA 52655-1691. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gupta, Puneet can be contacted via phone (319) 768-3321.Contact Information
Primary practice address
1225 S Gear Ave Ste 254
West Burlington IA 52655-1691
Phone: (319) 768-3321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001797 | Iowa |
Profile Details
| NPI number | 1912022773 |
|---|---|
| LBN Legal business name | Gupta, Puneet |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Nov 19th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912022773 | NPPES |
| Other | 01149 | WELLMARK BLUE CROSS BLUE | |
| Other | 252993 | WELLMARK BLUE CROSS BLUE | |
| Other | P00407816 | WELLMARK BLUE CROSS BLUE |
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