Pruett, Jack B

Pruett, Jack B is an individual health care provider with primary practice located at 1800 Birmingham Ave , Jasper AL 35501-5461. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Pruett, Jack B can be contacted via phone (205) 384-4585.

Contact Information

Primary practice address
1800 Birmingham Ave Jasper AL 35501-5461
Phone: (205) 384-4585
Fax: (205) 384-4428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12412 Mississippi
Allopathic & Osteopathic Physicians / Surgery 208600000X 12412 Mississippi

Profile Details

NPI number 1427002369
LBN Legal business name Pruett, Jack B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Dec 23rd, 2014 - about 12 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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