Pratt, Julie Ann

Pratt, Julie Ann is an individual health care provider with primary practice located at 69 Allen St Ste 10 , Rutland VT 05701-4564. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Pratt, Julie Ann can be contacted via phone (802) 774-5050.

Contact Information

Primary practice address
69 Allen St Ste 10 Rutland VT 05701-4564
Fax: (802) 774-5042
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN1855789 Massachusetts
Dental Providers / General Practice 1223G0001X 0160094415 Vermont

Profile Details

NPI number 1891075768
LBN Legal business name Pratt, Julie Ann
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2011
Last updated Aug 5th, 2015 - about 11 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 1891075768 NPPES
Vermont MEDICAID 1021959

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