Pruitt, Ticco Darrell

Pruitt, Ticco Darrell is an sole proprietor health care provider with primary practice located at 3030 Covington Pike Suite 180, Memphis TN 38128-5048. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Pruitt, Ticco Darrell can be contacted via phone (901) 870-2670.

Contact Information

Primary practice address
3030 Covington Pike Suite 180 Memphis TN 38128-5048
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X Tennessee

Profile Details

NPI number 1982973947
LBN Legal business name Pruitt, Ticco Darrell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2011
Last updated Dec 21st, 2011 - about 13 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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