Pruett, Donna Jacobi
Pruett, Donna Jacobi is an sole proprietor health care provider with primary practice located at 9999 Chemstrand Rd , Pensacola FL 32514-2724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Pruett, Donna Jacobi can be contacted via phone (850) 479-4456.Contact Information
Primary practice address
9999 Chemstrand Rd
Pensacola FL 32514-2724
Phone: (850) 479-4456
Fax: (850) 473-3986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 43401 | Florida |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 4484 | Alabama |
Profile Details
| NPI number | 1154612380 |
|---|---|
| LBN Legal business name | Pruett, Donna Jacobi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2011 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1154612380 | NPPES |
| Florida | MEDICAID | 067241600 | |
| Florida | MEDICAID | 009914935 |
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