Pruitt, Don E

Pruitt, Don E is an individual health care provider with primary practice located at 1305 N Elm St , Henderson KY 42420-2783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pruitt, Don E can be contacted via phone (812) 827-7154.

Contact Information

Primary practice address
1305 N Elm St Henderson KY 42420-2783
Phone: (812) 827-7154
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13935 Kentucky

Profile Details

NPI number 1669631669
LBN Legal business name Pruitt, Don E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2008
Last updated Jul 23rd, 2008 - about 16 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 1669631669 NPPES
Indiana MEDICAID 100347030
Indiana MEDICAID 64139355

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