Pruitt, Melissa D
Pruitt, Melissa D is an sole proprietor health care provider with primary practice located at 3333 Springhill Dr , North Little Rock AR 72117. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Pruitt, Melissa D can be contacted via phone (501) 202-3802.Contact Information
Primary practice address
3333 Springhill Dr
North Little Rock AR 72117
Phone: (501) 202-3802
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-14973 | Arkansas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | E-14973 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E14973 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E14972 | Arkansas |
Profile Details
| NPI number | 1497702096 |
|---|---|
| LBN Legal business name | Pruitt, Melissa D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2006 |
| Last updated | Jun 12th, 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 | 1497702096 | NPPES |
| Arkansas | MEDICAID | 283254001 | |
| Arkansas | MEDICAID | 02332770 |
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