Prout, Brian

Prout, Brian is an individual health care provider with primary practice located at 3224 Lake Woodard Dr Suite 100, Raleigh NC 27604-3659. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Prout, Brian can be contacted via phone (919) 231-6890.

Contact Information

Primary practice address
3224 Lake Woodard Dr Suite 100 Raleigh NC 27604-3659
Phone: (919) 231-6890
Fax: (919) 231-3490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1033267877
LBN Legal business name Prout, Brian
Credentials Certified Orthotist (CO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jan 29th, 2009 - about 15 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 1033267877 NPPES
North Carolina Other 0414L BCBS
North Carolina MEDICAID 7704336 BCBS
North Carolina MEDICAID 7795148 BCBS
North Carolina MEDICAID 7702039 BCBS

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