Putnam, Abby A

Putnam, Abby A is an individual health care provider with primary practice located at 180 S Main St , Canton IL 61520-2608. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Putnam, Abby A can be contacted via phone (309) 647-0201.

Contact Information

Primary practice address
180 S Main St Canton IL 61520-2608
Phone: (309) 647-0201
Fax: (309) 649-6880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 041315919 Illinois

Profile Details

NPI number 1356450142
LBN Legal business name Putnam, Abby A
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated May 5th, 2021 - about 5 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 1356450142 NPPES
Illinois Other 02922981 BCBS
Illinois MEDICAID 041315919 BCBS
Illinois Other 107762 BCBS
Illinois Other 0062839 BCBS
Illinois Other 1942315197 BCBS

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