Putnam, Theodore Inman

Putnam, Theodore Inman is an individual health care provider with primary practice located at 219 Bryant St , Buffalo NY 14222-2006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Putnam, Theodore Inman can be contacted via phone (716) 878-7109.

Contact Information

Primary practice address
219 Bryant St Buffalo NY 14222-2006
Phone: (716) 878-7109
Fax: (716) 888-3874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 095973 New York

Profile Details

NPI number 1760447288
LBN Legal business name Putnam, Theodore Inman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Dec 16th, 2008 - 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 1760447288 NPPES
Other 00010142001 UNIVERA
Other 040426002230 UNIVERA
MEDICAID 0014382740001 UNIVERA
Other 000503501002 UNIVERA
MEDICAID 00639423 UNIVERA
Other 051028000061 UNIVERA
Other 061102000045 UNIVERA
Other 1211171 UNIVERA
Other 000503501004 UNIVERA
Other 000503501005 UNIVERA

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