Pratt, Jane A

Pratt, Jane A is an individual health care provider with primary practice located at 219 Crewilla Dr Nw , Fort Walton Beach FL 32548-3947. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Pratt, Jane A can be contacted via phone (850) 581-7700.

Contact Information

Primary practice address
219 Crewilla Dr Nw Fort Walton Beach FL 32548-3947
Phone: (850) 581-7700
Fax: (850) 244-5342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1417931585
LBN Legal business name Pratt, Jane A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jul 9th, 2007 - about 19 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 1417931585 NPPES
Florida Other R9474 BCBS PROVIDER NUMBER

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