Provider Demographics
NPI:1093834269
Name:PUTNAM, GEORGE ARGUE JR (DC)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ARGUE
Last Name:PUTNAM
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5608 CITRUS BLVD
Mailing Address - Street 2:SUITE I
Mailing Address - City:HARAHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70123-5517
Mailing Address - Country:US
Mailing Address - Phone:504-241-7746
Mailing Address - Fax:504-754-2441
Practice Address - Street 1:5608 CITRUS BLVD
Practice Address - Street 2:SUITE I
Practice Address - City:HARAHAN
Practice Address - State:LA
Practice Address - Zip Code:70123-5517
Practice Address - Country:US
Practice Address - Phone:504-241-7746
Practice Address - Fax:504-754-2441
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA994111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5T365DC21Medicare PIN