Pritchard, Douglas Alan

Pritchard, Douglas Alan is an sole proprietor health care provider with primary practice located at 4248 S Eason Blvd. Suite B , Tupelo MS 38801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Pritchard, Douglas Alan can be contacted via phone (662) 842-8949.

Contact Information

Primary practice address
4248 S Eason Blvd. Suite B Tupelo MS 38801
Fax: (662) 842-8995
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 12950 Mississippi

Profile Details

NPI number 1467626390
LBN Legal business name Pritchard, Douglas Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2008
Last updated Jun 13th, 2016 - about 8 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 1467626390 NPPES
Mississippi MEDICAID 00018072

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