Pruitt, Wesley Blake

Pruitt, Wesley Blake is an individual health care provider with primary practice located at 10 Mcdowell St , Asheville NC 28801-4104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Pruitt, Wesley Blake can be contacted via phone (828) 258-8545.

Contact Information

Primary practice address
10 Mcdowell St Asheville NC 28801-4104
Phone: (828) 258-8545
Fax: (828) 254-0714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2010-00694 North Carolina

Profile Details

NPI number 1255460200
LBN Legal business name Pruitt, Wesley Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Nov 5th, 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 1255460200 NPPES
North Carolina Other 161JH BLUE CROSS BLUE SHIELD NC
North Carolina MEDICAID 5914635 BLUE CROSS BLUE SHIELD NC

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