Pruitt, Alexander

Pruitt, Alexander is an individual health care provider with primary practice located at 20 W 6Th St , Spencer IA 51301-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Pruitt, Alexander can be contacted via phone (712) 580-2022.

Contact Information

Primary practice address
20 W 6Th St Spencer IA 51301-3901
Phone: (712) 580-2022
Fax: (712) 580-2024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 29040 Iowa

Profile Details

NPI number 1760599450
LBN Legal business name Pruitt, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 25th, 2008 - about 17 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 1760599450 NPPES
Iowa Other 36190 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 7712720 BLUE CROSS BLUE SHIELD
Iowa Other 1948 BLUE CROSS BLUE SHIELD
Iowa Other 204803800 BLUE CROSS BLUE SHIELD
Iowa Other P00266324 BLUE CROSS BLUE SHIELD
Iowa Other 29770 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 1091892 BLUE CROSS BLUE SHIELD

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