Prather, John L

Prather, John L is an sole proprietor health care provider with primary practice located at 9002 Ohio River Rd , Wheelersburg OH 45694-1924. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Prather, John L can be contacted via phone (740) 574-0405.

Contact Information

Primary practice address
9002 Ohio River Rd Wheelersburg OH 45694-1924
Fax: (740) 574-0408
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30018272 Ohio

Profile Details

NPI number 1124144977
LBN Legal business name Prather, John L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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 1124144977 NPPES
Ohio MEDICAID 2067865

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