Prebus, Sol A

Prebus, Sol A is an individual health care provider with primary practice located at 10 Standing Rock Ave , Fort Yates ND 58538-8528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Prebus, Sol A can be contacted via phone (701) 854-8222.

Contact Information

Primary practice address
10 Standing Rock Ave Fort Yates ND 58538-8528
Phone: (701) 854-8222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 37819 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35850 Tennessee

Profile Details

NPI number 1578501219
LBN Legal business name Prebus, Sol A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Sep 13th, 2023 - about 3 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 1578501219 NPPES
Kentucky MEDICAID 64061187

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