Prettyman, Stephen E

Prettyman, Stephen E is an individual health care provider with primary practice located at 110 E Main St , Ottumwa IA 52501-2910. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Prettyman, Stephen E can be contacted via phone (641) 682-8772.

Contact Information

Primary practice address
110 E Main St Ottumwa IA 52501-2910
Phone: (641) 682-8772
Fax: (641) 682-1924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 06375 Iowa

Profile Details

NPI number 1417077264
LBN Legal business name Prettyman, Stephen E
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 9th, 2007 - about 18 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 1417077264 NPPES
Iowa MEDICAID 0066191
Iowa Other 59246

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