Pruitt, Vernon L

Pruitt, Vernon L is an individual health care provider with primary practice located at 1108 Ross Clark Circle , Dothan AL 36301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Pruitt, Vernon L can be contacted via phone (334) 793-5105.

Contact Information

Primary practice address
1108 Ross Clark Circle Dothan AL 36301
Phone: (334) 793-5105
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 00025583 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 00025583 Alabama

Profile Details

NPI number 1912986886
LBN Legal business name Pruitt, Vernon L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Sep 27th, 2010 - 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 1912986886 NPPES
Alabama MEDICAID 051518440
Alabama Other 420979327A
Alabama Other 51518440

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