Pruitt, Gerald T
Pruitt, Gerald T is an individual health care provider with primary practice located at 802 W King St Ste J , Owosso MI 48867-2100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Pruitt, Gerald T can be contacted via phone (989) 729-4071.Contact Information
Primary practice address
802 W King St Ste J
Owosso MI 48867-2100
Phone: (989) 729-4071
Fax: (989) 729-4072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 5101015307 | Michigan |
Profile Details
| NPI number | 1356399232 |
|---|---|
| LBN Legal business name | Pruitt, Gerald T |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Oct 16th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356399232 | NPPES |
| Michigan | MEDICAID | 1356399232 |
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