Prutch, Peter T

Prutch, Peter T is an sole proprietor health care provider with primary practice located at 2121 S Oneida St 248, Denver CO 80224-2549. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Prutch, Peter T can be contacted via phone (303) 504-0600.

Contact Information

Primary practice address
2121 S Oneida St 248 Denver CO 80224-2549
Fax: (303) 504-0601
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 70254 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 1906 Colorado

Profile Details

NPI number 1497792543
LBN Legal business name Prutch, Peter T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Jun 4th, 2014 - 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 1497792543 NPPES
Colorado MEDICAID 15883825

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