Pruitt, Jeffrey A.

Pruitt, Jeffrey A. is an individual health care provider with primary practice located at 1400 E 2Nd St , Defiance OH 43512-2440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pruitt, Jeffrey A. can be contacted via phone (419) 784-1414.

Contact Information

Primary practice address
1400 E 2Nd St Defiance OH 43512-2440
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35062785P Ohio

Profile Details

NPI number 1689656696
LBN Legal business name Pruitt, Jeffrey A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Mar 21st, 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 1689656696 NPPES
Ohio MEDICAID 0878028

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