Pratt, Anne Elizabeth
Pratt, Anne Elizabeth is an individual health care provider with primary practice located at 2901 N 4Th St Er Department, Longview TX 75605-5128. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Pratt, Anne Elizabeth can be contacted via phone (903) 757-6042.Contact Information
Primary practice address
2901 N 4Th St Er Department
Longview TX 75605-5128
Phone: (903) 757-6042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10609RX | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA07060 | Texas |
Profile Details
| NPI number | 1629094396 |
|---|---|
| LBN Legal business name | Pratt, Anne Elizabeth |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Aug 5th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629094396 | NPPES |
| Louisiana | MEDICAID | 1624951 | |
| Louisiana | MEDICAID | 286609702 | |
| Louisiana | Other | 5F600P518 |
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