Stephen E Prettyman in Ottumwa - Clinical
Stephen E Prettyman - NPI 1417077264
Stephen E Prettyman is a Clinical in Ottumwa, Iowa. Stephen E Prettyman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stephen E Prettyman is 1417077264. The last update date is 2007-07-09.
Stephen E Prettyman's current location address is 110 E Main St, Ottumwa, Iowa. You can contact this provider via phone number 6416828772 and fax number 6416821924. The mailing address for Stephen E Prettyman is 110 E Main St, Ottumwa, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen E Prettyman |
|---|---|
| Address | 110 E Main St, Ottumwa, Iowa |
| Phone Number | 6416828772 |
| Fax Number | 6416821924 |
| Sole Proprietor | N |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1417077264 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 110 E Main St |
|---|---|
| City | Ottumwa |
| State | Iowa (IA) |
| Post Code | 525012910 |
| Phone Number | 6416828772 |
| Fax Number | 6416821924 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6375 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 66191 | IA | -- | |
| 59246 | IA | BCBS OF IA GROUP # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stephen E Prettyman?
The Stephen E Prettyman has been issued the NPI (National Provider Identifier) 1417077264 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Stephen E Prettyman's facilities are geographically located?
The facilities of Stephen E Prettyman are physically situated at the following location: 110 E Main St, Ottumwa, IA, 525012910.
What is Stephen E Prettyman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stephen E Prettyman is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417077264 to Stephen E Prettyman?
The Stephen E Prettyman received its 1417077264 assignment from the Centers for Medicare & Medicaid Services on 2007-03-29.
When was the information regarding Stephen E Prettyman most recently updated?
The details pertaining to the Stephen E Prettyman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.