Pratt, David
Pratt, David is an individual health care provider with primary practice located at 1055 N 500 W Ste 102 , Provo UT 84604-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Pratt, David can be contacted via phone (801) 374-2367.Contact Information
Primary practice address
1055 N 500 W Ste 102
Provo UT 84604-3305
Phone: (801) 374-2367
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2007029607 | Missouri |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 01070213A | Indiana |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 35093149 | Ohio |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 42433 | Kentucky |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 12568775-1205 | Utah |
Profile Details
| NPI number | 1851492003 |
|---|---|
| LBN Legal business name | Pratt, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jun 20th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851492003 | NPPES |
| Indiana | MEDICAID | 200975430 | |
| Indiana | MEDICAID | 2929835 | |
| Indiana | MEDICAID | 7100071100 |
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