Pruitt, Laurie

Pruitt, Laurie is an sole proprietor health care provider with primary practice located at 840 Green River Rd , Gaffney SC 29341-3209. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Pruitt, Laurie can be contacted via phone (864) 206-6770.

Contact Information

Primary practice address
840 Green River Rd Gaffney SC 29341-3209
Phone: (864) 206-6770
Fax: (864) 487-1245
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X P39010 South Carolina

Profile Details

NPI number 1841619350
LBN Legal business name Pruitt, Laurie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2014
Last updated Apr 11th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841619350 NPPES
South Carolina MEDICAID 1538119276

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