Pratt, Timothy James
Pratt, Timothy James is an sole proprietor health care provider with primary practice located at 1011 Bowles Avenue Suite 121, Fenton MO 63026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pratt, Timothy James can be contacted via phone (314) 766-2066.Contact Information
Primary practice address
1011 Bowles Avenue Suite 121
Fenton MO 63026
Phone: (314) 766-2066
Fax: (636) 326-1802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R9E55 | Missouri |
Profile Details
| NPI number | 1104872068 |
|---|---|
| LBN Legal business name | Pratt, Timothy James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | Jun 19th, 2024 - about last year |
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 | 1104872068 | NPPES |
| Missouri | MEDICAID | 202477915 |
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