Pruitt, David Edwin
Pruitt, David Edwin is an individual health care provider with primary practice located at 1455 Higdon Ferry Rd , Hot Springs AR 71913-6419. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pruitt, David Edwin can be contacted via phone (501) 622-2100.Contact Information
Primary practice address
1455 Higdon Ferry Rd
Hot Springs AR 71913-6419
Phone: (501) 622-2100
Fax: (501) 622-2214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E3086 | Arkansas |
Profile Details
| NPI number | 1750397782 |
|---|---|
| LBN Legal business name | Pruitt, David Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1750397782 | NPPES |
| Other | 7596359 | AETNA ID # | |
| Other | 5L933 | AETNA ID # |
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