Pruitt, Christopher M
Pruitt, Christopher M is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-1711. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Pruitt, Christopher M can be contacted via phone (843) 792-1414.Contact Information
Primary practice address
171 Ashley Ave
Charleston SC 29425-1711
Phone: (843) 792-1414
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.28073 | Alabama |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 27231 | South Carolina |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.28073 | Alabama |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 27231 | South Carolina |
Profile Details
NPI number | 1942399217 |
---|---|
LBN Legal business name | Pruitt, Christopher M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2006 |
Last updated | Jul 1st, 2019 - about 6 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 | 1942399217 | NPPES |
Alabama | Other | 1942399217 | TRICARE SOUTH |
Alabama | Other | 515-44055 | TRICARE SOUTH |
Alabama | Other | 515-40540 | TRICARE SOUTH |
Alabama | Other | 9287054 | TRICARE SOUTH |
Alabama | MEDICAID | 101785 | TRICARE SOUTH |
Alabama | MEDICAID | 009941851 | TRICARE SOUTH |
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