Pruett, Timothy L.

Pruett, Timothy L. is an individual health care provider with primary practice located at 909 Fulton St Se , Minneapolis MN 55455-4800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Pruett, Timothy L. can be contacted via phone (612) 672-7422.

Contact Information

Primary practice address
909 Fulton St Se Minneapolis MN 55455-4800
Phone: (612) 672-7422
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 0101040520 Virginia

Profile Details

NPI number 1659402873
LBN Legal business name Pruett, Timothy L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 21st, 2022 - about 3 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 1659402873 NPPES
Virginia MEDICAID 007398778

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