Pruitt, Tad C
Pruitt, Tad C is an individual health care provider with primary practice located at 800 Fair Park Blvd , Little Rock AR 72204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Pruitt, Tad C can be contacted via phone (501) 604-6900.Contact Information
Primary practice address
800 Fair Park Blvd
Little Rock AR 72204
Phone: (501) 604-6900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | R4137 | Arkansas |
Profile Details
| NPI number | 1730171273 |
|---|---|
| LBN Legal business name | Pruitt, Tad C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jan 11th, 2019 - about 5 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 | 1730171273 | NPPES |
| Arkansas | MEDICAID | 125067001 |
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