Putman, Harrison C

Putman, Harrison C is an sole proprietor health care provider with primary practice located at 7301 N Knoxville Ave , Peoria IL 61614-2017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Putman, Harrison C can be contacted via phone (309) 589-3233.

Contact Information

Primary practice address
7301 N Knoxville Ave Peoria IL 61614-2017
Phone: (309) 589-3233
Fax: (309) 683-4120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X Illinois

Profile Details

NPI number 1477524171
LBN Legal business name Putman, Harrison C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1477524171 NPPES
Other 7215792 BCBS

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