Prater, Addisen Marie
Prater, Addisen Marie is an individual health care provider with primary practice located at 7970 W Jefferson Blvd , Fort Wayne IN 46804-4140. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Prater, Addisen Marie can be contacted via phone (260) 435-6100.Contact Information
Primary practice address
7970 W Jefferson Blvd
Fort Wayne IN 46804-4140
Phone: (260) 435-6100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Nurse's Aide | 376K00000X |
Profile Details
| NPI number | 1629899091 |
|---|---|
| LBN Legal business name | Prater, Addisen Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2024 |
| Last updated | Oct 18th, 2024 - about 2 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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