Puckett, Paul Andrew

Puckett, Paul Andrew is an individual health care provider with primary practice located at 2360 Mullan Rd Suite C, Missoula MT 59808-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Puckett, Paul Andrew can be contacted via phone (406) 721-4436.

Contact Information

Primary practice address
2360 Mullan Rd Suite C Missoula MT 59808-1811
Phone: (406) 721-4436
Fax: (406) 721-6053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 8250 Montana

Profile Details

NPI number 1174502017
LBN Legal business name Puckett, Paul Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Dec 12th, 2019 - about 7 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 1174502017 NPPES
Montana MEDICAID 0017051

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