Puckett, Alysha Jean

Puckett, Alysha Jean is an individual health care provider with primary practice located at 710 N High St , Mount Orab OH 45154-8349. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Puckett, Alysha Jean can be contacted via phone (937) 444-1613.

Contact Information

Primary practice address
710 N High St Mount Orab OH 45154-8349
Phone: (937) 444-1613
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio

Profile Details

NPI number 1003335100
LBN Legal business name Puckett, Alysha Jean
Credentials BA, QMHS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2017
Last updated Sep 11th, 2017 - about 9 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.

Request for update

Popular Providers