Pratt, Cecilly A

Pratt, Cecilly A is an individual health care provider with primary practice located at 15959 Hall Rd Ste 104 , Macomb MI 48044. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Pratt, Cecilly A can be contacted via phone (586) 884-2688.

Contact Information

Primary practice address
15959 Hall Rd Ste 104 Macomb MI 48044
Phone: (586) 884-2688
Fax: (586) 566-1674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301078472 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 069696 Georgia

Profile Details

NPI number 1548226467
LBN Legal business name Pratt, Cecilly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Sep 4th, 2018 - about 6 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 1548226467 NPPES
Michigan MEDICAID 464270910
Michigan Other 700E012740

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