Pruit, Randal

Pruit, Randal is an sole proprietor health care provider with primary practice located at 2101 N Main St , Clovis NM 88101-3511. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Interpreter, Other Service Providers / Vehicle Modifications, Other Service Providers / Health Educator. Other Service Providers / Health Educator is his primary health care specialty. Pruit, Randal can be contacted via phone (575) 693-6205.

Contact Information

Primary practice address
2101 N Main St Clovis NM 88101-3511
Phone: (575) 693-6205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Interpreter 171R00000X
Other Service Providers / Vehicle Modifications 171WV0202X
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1558744201
LBN Legal business name Pruit, Randal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2015
Last updated Jun 30th, 2015 - about 11 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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