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
Fax: (662) 720-3069
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093883795 NPPES
Mississippi MEDICAID 00014401

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