Puffenberger, Paul Vincent

Puffenberger, Paul Vincent is an individual health care provider with primary practice located at 4102 Roosevelt Blvd , Middletown OH 45044-3699. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Puffenberger, Paul Vincent can be contacted via phone (513) 425-0817.

Contact Information

Primary practice address
4102 Roosevelt Blvd Middletown OH 45044-3699
Fax: (513) 425-7101
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2959 T604 Ohio

Profile Details

NPI number 1841347333
LBN Legal business name Puffenberger, Paul Vincent
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 15th, 2010 - about 16 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 1841347333 NPPES
Ohio MEDICAID 0371057

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