Putnam, Thomas J
Putnam, Thomas J is an sole proprietor health care provider with primary practice located at 100 Hospital St Ste 200 , Booneville MS 38829-3354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Putnam, Thomas J can be contacted via phone (662) 720-3000.Contact Information
Primary practice address
100 Hospital St Ste 200
Booneville MS 38829-3354
Phone: (662) 720-3000
Fax: (662) 720-3069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 09729 | Mississippi |
Profile Details
| NPI number | 1093883795 |
|---|---|
| LBN Legal business name | Putnam, Thomas J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Nov 1st, 2011 - about 15 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 | 1093883795 | NPPES |
| Mississippi | MEDICAID | 00014401 |
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