Prant, Gary D

Prant, Gary D is an sole proprietor health care provider with primary practice located at 7700 Menaul Blvd Ne Ste D , Albuquerque NM 87110-4639. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Prant, Gary D can be contacted via phone (505) 299-4487.

Contact Information

Primary practice address
7700 Menaul Blvd Ne Ste D Albuquerque NM 87110-4639
Fax: (505) 299-4498
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD411 New Mexico

Profile Details

NPI number 1295746857
LBN Legal business name Prant, Gary D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Mar 30th, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295746857 NPPES
New Mexico MEDICAID 92337287

Popular Providers