Pruett, Jackson
Pruett, Jackson is an sole proprietor health care provider with primary practice located at Bldg 4101, El Camino Real , Fpo, Aa CA 92058. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Pruett, Jackson can be contacted via phone (760) 725-1288.Contact Information
Primary practice address
Bldg 4101, El Camino Real
Fpo, Aa CA 92058
Phone: (760) 725-1288
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
NPI number | 1407634272 |
---|---|
LBN Legal business name | Pruett, Jackson |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 21st, 2023 |
Last updated | Sep 21st, 2023 - about last year |
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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