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
Phone: (303) 504-0600
Fax: (303) 504-0601
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497792543 | NPPES |
Colorado | MEDICAID | 15883825 |
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