Pruitt, Andrew L
Pruitt, Andrew L is an individual health care provider with primary practice located at 311 Mapleton Ave , Boulder CO 80304-3979. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pruitt, Andrew L can be contacted via phone (303) 544-5700.Contact Information
Primary practice address
311 Mapleton Ave
Boulder CO 80304-3979
Phone: (303) 544-5700
Fax: (303) 544-5710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 178 | Colorado |
Profile Details
| NPI number | 1194707745 |
|---|---|
| LBN Legal business name | Pruitt, Andrew L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Jan 23rd, 2013 - about 11 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 | 1194707745 | NPPES |
| Colorado | MEDICAID | 07178007 |
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