Pratt, Vanessa Maria

Pratt, Vanessa Maria is an individual health care provider with primary practice located at 12216 N Nc Highway 150 , Winston Salem NC 27127-9730. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Pratt, Vanessa Maria can be contacted via phone (518) 764-2211.

Contact Information

Primary practice address
12216 N Nc Highway 150 Winston Salem NC 27127-9730
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 050077 New York
Pharmacy Service Providers / Pharmacist 183500000X 17589 North Carolina

Profile Details

NPI number 1932385861
LBN Legal business name Pratt, Vanessa Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2008
Last updated Mar 15th, 2011 - about 13 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 1932385861 NPPES
New York MEDICAID 01216619

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