Pruitt, James C

Pruitt, James C is an individual health care provider with primary practice located at 75 S Pagosa Blvd , Pagosa Springs CO 81147-7910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pruitt, James C can be contacted via phone (970) 431-4131.

Contact Information

Primary practice address
75 S Pagosa Blvd Pagosa Springs CO 81147-7910
Phone: (970) 431-4131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22652 Colorado

Profile Details

NPI number 1588697361
LBN Legal business name Pruitt, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Mar 9th, 2016 - about 9 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 1588697361 NPPES
New Mexico Other NM01Y342 NM BCBS
New Mexico Other PRP07018 NM BCBS
New Mexico MEDICAID 01226521 NM BCBS
New Mexico Other 6003610001 NM BCBS

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