Pruitt, Annie Seal
Pruitt, Annie Seal is an sole proprietor health care provider with primary practice located at 1410 Clover Ln , West Memphis AR 72301-1718. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Pruitt, Annie Seal can be contacted via phone (870) 702-6710.Contact Information
Primary practice address
1410 Clover Ln
West Memphis AR 72301-1718
Phone: (870) 702-6710
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1457527426 |
---|---|
LBN Legal business name | Pruitt, Annie Seal |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 30th, 2008 |
Last updated | Apr 30th, 2008 - about 17 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 | 1457527426 | NPPES |
Arkansas | MEDICAID | 166112783 |
Popular Providers
-
Cartwright, Antoinette E
703 Calvin Avery Dr Suite A, West Memphis AR 72301-6501 -
Gray, Terrance
413 W Tyler Ave , West Memphis AR 72301-4149 -
Malone, Denita
703 Calvin Avery Dr Suite A, West Memphis AR 72301-6501 -
Rucker, Amy
205 Ingram Blvd , West Memphis AR 72301-3423 -
Johnson, Nathaniel
703 Calvin Avery Dr , West Memphis AR 72301-6501 -
English, Lawanda
413 W Tyler Ave , West Memphis AR 72301-4149 -
White, Patricia
703 Calvin Avery Dr Suite A, West Memphis AR 72301-6501 -
Miller, Frederick
703 Calvin Avery Dr Suite A, West Memphis AR 72301-6501