Pruitt, Delicia Janelle
Pruitt, Delicia Janelle is an individual health care provider with primary practice located at 1575 Concentric Blvd , Saginaw MI 48604-9311. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pruitt, Delicia Janelle can be contacted via phone (989) 746-7500.Contact Information
Primary practice address
1575 Concentric Blvd
Saginaw MI 48604-9311
Phone: (989) 746-7500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301076054 | Michigan |
Profile Details
NPI number | 1407844251 |
---|---|
LBN Legal business name | Pruitt, Delicia Janelle |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 6th, 2005 |
Last updated | Sep 27th, 2023 - about 2 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 | 1407844251 | NPPES |
Other | 1012438 | MCLAREN HEALTH PLAN | |
Other | 4686660 | MCLAREN HEALTH PLAN | |
Other | P33641F | MCLAREN HEALTH PLAN | |
Other | 0997569 | MCLAREN HEALTH PLAN | |
Other | 296 | MCLAREN HEALTH PLAN | |
Other | 381908328 | MCLAREN HEALTH PLAN | |
Other | 381908328 | MCLAREN HEALTH PLAN | |
Other | 080G310660 | MCLAREN HEALTH PLAN | |
Other | 142119 | MCLAREN HEALTH PLAN | |
Other | 381908328 | MCLAREN HEALTH PLAN | |
MEDICAID | 4686660 | MCLAREN HEALTH PLAN | |
Other | 7484518 | MCLAREN HEALTH PLAN | |
Other | 381908328 | MCLAREN HEALTH PLAN |
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