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Contact Information

MICHELLE C PUCKETT
1600 7TH AVE S
BIRMINGHAM, AL35233-1711
 Phone: 205-638-5900
 Fax: 205-638-5920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

163WR0400X
Indicates primary specialty

NPI Profile & details for MICHELLE C PUCKETT · (Female)

NPI # 1396361051
Status Active
Credentials
Entity Individual
Enumeration date 06/18/2020
Last updated 06/18/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-102812
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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