Pratte, Bruce Welton

Pratte, Bruce Welton is an individual health care provider with primary practice located at 1674 N Limestone St , Springfield OH 45503-2652. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pratte, Bruce Welton can be contacted via phone (937) 322-6411.

Contact Information

Primary practice address
1674 N Limestone St Springfield OH 45503-2652
Phone: (937) 322-6411
Fax: (937) 399-2346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2836/T601 Ohio

Profile Details

NPI number 1730108283
LBN Legal business name Pratte, Bruce Welton
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 28th, 2011 - about 15 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 1730108283 NPPES
Ohio Other 000000005257 ANTHEM BLUE CROSS BLUE SH
Ohio Other 2220168 ANTHEM BLUE CROSS BLUE SH
Ohio MEDICAID 0134367 ANTHEM BLUE CROSS BLUE SH

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