Prater, Jeffrey

Prater, Jeffrey is an individual health care provider with primary practice located at 110 Helm St , Elizabethtown KY 42701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Prater, Jeffrey can be contacted via phone (270) 312-3861.

Contact Information

Primary practice address
110 Helm St Elizabethtown KY 42701
Phone: (270) 312-3861
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71003451A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3007768 Kentucky

Profile Details

NPI number 1659401461
LBN Legal business name Prater, Jeffrey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Mar 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659401461 NPPES
Indiana Other 71003451A INDIANA LIC

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