Prickett, Duane L

Prickett, Duane L is an sole proprietor health care provider with primary practice located at 1579 Monroe Dr Ne Ste F , Atlanta GA 30324-5022. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Prickett, Duane L can be contacted via phone (404) 788-1321.

Contact Information

Primary practice address
1579 Monroe Dr Ne Ste F Atlanta GA 30324-5022
Phone: (404) 788-1321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 02-151 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Georgia

Profile Details

NPI number 1215084959
LBN Legal business name Prickett, Duane L
Credentials SA-C, RSA, LSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Dec 5th, 2013 - about 11 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 1215084959 NPPES
Other 02-151 SURGICAL ASSISTANT-CERTIFIED
Other 238.000307 SURGICAL ASSISTANT-CERTIFIED
Other SA.0001689 SURGICAL ASSISTANT-CERTIFIED

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