Pratt, Charles D

Pratt, Charles D is an individual health care provider with primary practice located at 5000 Memorial Dr , Two Rivers WI 54241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pratt, Charles D can be contacted via phone (920) 794-5125.

Contact Information

Primary practice address
5000 Memorial Dr Two Rivers WI 54241
Phone: (920) 794-5125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35785 Wisconsin

Profile Details

NPI number 1093822306
LBN Legal business name Pratt, Charles D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 7th, 2023 - 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 1093822306 NPPES
Wisconsin MEDICAID 34180800

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