Pratt, Daniel Stephan
Pratt, Daniel Stephan is an individual health care provider with primary practice located at 55 Fruit St Blk 4, Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Pratt, Daniel Stephan can be contacted via phone (617) 726-3313.Contact Information
Primary practice address
55 Fruit St Blk 4
Boston MA 02114-2621
Phone: (617) 726-3313
Fax: (617) 724-6832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 74297 | Massachusetts |
Profile Details
| NPI number | 1720069297 |
|---|---|
| LBN Legal business name | Pratt, Daniel Stephan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Dec 14th, 2012 - 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 | 1720069297 | NPPES |
| Massachusetts | Other | 074297 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3140750 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J31250 | TUFTS HEALTH PLAN |
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