John W Pruett is a Psychiatry in Green Bay, Wisconsin. John W Pruett practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for John W Pruett is 1881623106. The last update date is 2021-10-18.
John W Pruett's current location address is Po Box 22040, Green Bay, Wisconsin. You can contact this provider via phone number 9204457222 and fax number 9204457289. The mailing address for John W Pruett is Po Box 22040, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John W Pruett |
|---|---|
| Address | Po Box 22040, Green Bay, Wisconsin |
| Phone Number | 9204457222 |
| Fax Number | 9204457289 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881623106 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2021-10-18 |
Provider Mailing Address Detail
| Address | Po Box 22040 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543052040 |
| Phone Number | 9204457222 |
| Fax Number | 9204457289 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 16290 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique identifier code issued to John W Pruett by the Centers for Medicare & Medicaid Services (CMS)?
The John W Pruett has been assigned the NPI (National Provider Identifier) 1881623106. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where John W Pruett is physically located?
The John W Pruett is physically situated at the following address: Po Box 22040, Green Bay, WI, 543052040.
What is John W Pruett'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 John W Pruett is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881623106 to John W Pruett?
The John W Pruett received its 1881623106 assignment from the Centers for Medicare & Medicaid Services on 2006-06-30.
When was the John W Pruett's information last updated?
The John W Pruett's information was last updated on 2021-10-18.