Pruitt, Ronald Edward

Pruitt, Ronald Edward is an individual health care provider with primary practice located at 4230 Harding Road Suite 309 Medical Plaza West, Nashville TN 37205-2013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Pruitt, Ronald Edward can be contacted via phone (615) 383-0165.

Contact Information

Primary practice address
4230 Harding Road Suite 309 Medical Plaza West Nashville TN 37205-2013
Fax: (615) 292-4657
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD0000019680 Tennessee

Profile Details

NPI number 1770582140
LBN Legal business name Pruitt, Ronald Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Dec 16th, 2015 - about 9 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 1770582140 NPPES
Tennessee MEDICAID 3048376
Tennessee Other 100001895
Tennessee MEDICAID Q011236

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