Puckett, Frankie A.

Puckett, Frankie A. is an individual health care provider with primary practice located at 125 Diana Dr , Webster Springs WV 26288-9078. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Puckett, Frankie A. can be contacted via phone (304) 847-5682.

Contact Information

Primary practice address
125 Diana Dr Webster Springs WV 26288-9078
Phone: (304) 847-5682
Fax: (304) 847-5985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22820 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22820 West Virginia

Profile Details

NPI number 1851489157
LBN Legal business name Puckett, Frankie A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jan 6th, 2023 - about 3 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 1851489157 NPPES
West Virginia MEDICAID 3810018033

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