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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457527426 NPPES
Arkansas MEDICAID 166112783

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