Pruitt, Charles L

Pruitt, Charles L is an individual health care provider with primary practice located at 401 N Ewing St , Lancaster OH 43130-3372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Pruitt, Charles L can be contacted via phone (740) 687-8000.

Contact Information

Primary practice address
401 N Ewing St Lancaster OH 43130-3372
Fax: (740) 687-8939
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35048030 Ohio

Profile Details

NPI number 1194706341
LBN Legal business name Pruitt, Charles L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated May 31st, 2011 - about 14 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 1194706341 NPPES
Ohio Other 35048030 OHIO STATE MEDICAL LICENS
Ohio MEDICAID 0867807 OHIO STATE MEDICAL LICENS

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