Pratz, Keith W

Pratz, Keith W is an individual health care provider with primary practice located at 3400 Civic Center Blvd 2 West, Philadelphia PA 19104-5127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Pratz, Keith W can be contacted via phone (215) 615-0063.

Contact Information

Primary practice address
3400 Civic Center Blvd 2 West Philadelphia PA 19104-5127
Phone: (215) 615-0063
Fax: (215) 349-8144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D0064483 Maryland
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD467231 Pennsylvania

Profile Details

NPI number 1710966114
LBN Legal business name Pratz, Keith W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Sep 16th, 2019 - about 7 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 1710966114 NPPES
Minnesota MEDICAID 130187000
Minnesota MEDICAID 417498400

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