Puckett, Suzanne
Puckett, Suzanne is an sole proprietor health care provider with primary practice located at 69 Shipwash Dr , Garner NC 27529-6860. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Puckett, Suzanne can be contacted via phone (919) 772-1990.Contact Information
Primary practice address
69 Shipwash Dr
Garner NC 27529-6860
Phone: (919) 772-1990
Fax: (919) 772-1978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2688 | North Carolina |
Profile Details
| NPI number | 1346271020 |
|---|---|
| LBN Legal business name | Puckett, Suzanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Feb 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346271020 | NPPES |
| North Carolina | MEDICAID | 6103188 |
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