Pruitt, Joseph Edward
Pruitt, Joseph Edward is an individual health care provider with primary practice located at 6151 S Yale Ave Ste 100A , Tulsa OK 74136-1929. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Pruitt, Joseph Edward can be contacted via phone (918) 494-8500.Contact Information
Primary practice address
6151 S Yale Ave Ste 100A
Tulsa OK 74136-1929
Phone: (918) 494-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1274 | Oklahoma |
Profile Details
| NPI number | 1649241845 |
|---|---|
| LBN Legal business name | Pruitt, Joseph Edward |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Sep 1st, 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 | 1649241845 | NPPES |
| Oklahoma | MEDICAID | 200005750A |
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