Pruner, Michael George

Pruner, Michael George is an individual health care provider with primary practice located at 25647 Redwood Hwy , Cave Junction OR 97523-9332. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Pruner, Michael George can be contacted via phone (541) 592-4111.

Contact Information

Primary practice address
25647 Redwood Hwy Cave Junction OR 97523-9332
Phone: (541) 592-4111
Fax: (541) 592-3916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 3366972 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 201394159NP-PP Oregon

Profile Details

NPI number 1356472161
LBN Legal business name Pruner, Michael George
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Nov 18th, 2015 - about 10 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 1356472161 NPPES
Florida Other ARNP 3366972 ARNP
Florida MEDICAID 500676542 ARNP

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