Pratt, Charles Allan
Pratt, Charles Allan is an individual health care provider with primary practice located at 3340 Providence Dr Suite 567, Anchorage AK 99508-4616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Pratt, Charles Allan can be contacted via phone (907) 276-5517.Contact Information
Primary practice address
3340 Providence Dr Suite 567
Anchorage AK 99508-4616
Phone: (907) 276-5517
Fax: (907) 279-3655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 4882 | Alaska |
Profile Details
| NPI number | 1417084229 |
|---|---|
| LBN Legal business name | Pratt, Charles Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1417084229 | NPPES |
| Alaska | MEDICAID | MD22761 |
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