Individual ProviderAlexander Jacob PutkovichStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3000 Arlington Ave, Toledo, OH 43614-2595(419) 530-5408PECOS EnrollmentBased on the most recent information from CMS, provider Alexander Jacob Putkovich does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1316717259Provider TypeIndividualFull NamePutkovich, Alexander JacobGenderMaleSole ProprietorYesEnumeration Date1/2/2024Last Updated1/2/2024Contact InformationPractice LocationPractice Address3000 Arlington Ave, Toledo, OH 43614-2595Phone(419) 530-5408FaxUnlisted FaxMailing LocationMailing Address100 Robinhood Dr SE, Grand Rapids, MI 49546-2151PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer