Pruni, Derek P
Pruni, Derek P is an sole proprietor health care provider with primary practice located at 5233 E Southern Ave Ste 104, Mesa AZ 85206-3628. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pruni, Derek P can be contacted via phone (480) 785-4959.Contact Information
Primary practice address
5233 E Southern Ave Ste 104
Mesa AZ 85206-3628
Phone: (480) 785-4959
Fax: (480) 785-4827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 7918 | Arizona |
Profile Details
| NPI number | 1154304590 |
|---|---|
| LBN Legal business name | Pruni, Derek P |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Apr 17th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154304590 | NPPES |
| Arizona | Other | 9222584 | CIGNA |
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