Pratt, Forrest John
Pratt, Forrest John is an sole proprietor health care provider with primary practice located at 2979 W Elliot Rd Ste 4 , Chandler AZ 85224-1641. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Pratt, Forrest John can be contacted via phone (480) 775-1304.Contact Information
Primary practice address
2979 W Elliot Rd Ste 4
Chandler AZ 85224-1641
Phone: (480) 775-1304
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D010864 | Arizona |
Profile Details
| NPI number | 1184156127 |
|---|---|
| LBN Legal business name | Pratt, Forrest John |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2017 |
| Last updated | Aug 8th, 2022 - about 4 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 | 1184156127 | NPPES |
| Arizona | MEDICAID | 1184156127 |
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