Pryor, Todd A

Pryor, Todd A is an individual health care provider with primary practice located at 418 Washington St , Lakeview MI 48850-9806. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Pryor, Todd A can be contacted via phone (989) 352-7211.

Contact Information

Primary practice address
418 Washington St Lakeview MI 48850-9806
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101009393 Michigan
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 5101009393 Michigan

Profile Details

NPI number 1629090907
LBN Legal business name Pryor, Todd A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Sep 23rd, 2011 - about 14 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 1629090907 NPPES
Other P00389049 RR MCR
MEDICAID 114517587 RR MCR
Other 0F71000 RR MCR
Other 7000A410180 RR MCR

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