Pruitt, Tracy

Pruitt, Tracy is an individual health care provider with primary practice located at 231 E Graham Ave , Pryor OK 74361-2436. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Pruitt, Tracy can be contacted via phone (918) 825-1405.

Contact Information

Primary practice address
231 E Graham Ave Pryor OK 74361-2436
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1023520079
LBN Legal business name Pruitt, Tracy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2017
Last updated Oct 31st, 2017 - about 4 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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