Prickett, Dennis L
Prickett, Dennis L is an sole proprietor health care provider with primary practice located at 1115 Commerce Dr Suite C, Las Cruces NM 88011. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Prickett, Dennis L can be contacted via phone (575) 525-2450.Contact Information
Primary practice address
1115 Commerce Dr Suite C
Las Cruces NM 88011
Phone: (575) 525-2450
Fax: (575) 522-9075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1147 | New Mexico |
Profile Details
| NPI number | 1336142744 |
|---|---|
| LBN Legal business name | Prickett, Dennis L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2005 |
| Last updated | Feb 8th, 2022 - about 3 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 | 1336142744 | NPPES |
| New Mexico | MEDICAID | K8214 |
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