Pratt, Richard Warren

Pratt, Richard Warren is an individual health care provider with primary practice located at 200 Liberty Ave , Lafayette LA 70508-6822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Pratt, Richard Warren can be contacted via phone (337) 470-3172.

Contact Information

Primary practice address
200 Liberty Ave Lafayette LA 70508-6822
Phone: (337) 470-3172
Fax: (337) 470-5417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 201835 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1508365 Louisiana
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 201835 Louisiana

Profile Details

NPI number 1558539973
LBN Legal business name Pratt, Richard Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2008
Last updated Jun 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558539973 NPPES
Louisiana MEDICAID 1508365

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