Pratt, Garry Michael

Pratt, Garry Michael is an individual health care provider with primary practice located at 207 S Santa Anita Ave , San Gabriel CA 91776-1146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pratt, Garry Michael can be contacted via phone (626) 943-3228.

Contact Information

Primary practice address
207 S Santa Anita Ave San Gabriel CA 91776-1146
Phone: (626) 943-3228
Fax: (626) 943-3251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G41306 California

Profile Details

NPI number 1679592281
LBN Legal business name Pratt, Garry Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 8th, 2012 - about 12 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 1679592281 NPPES
California MEDICAID 00G413060

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