Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY EDWARD PRUITT, IDC
Active Sole ProprietorIndependent Duty Corpsman · FPO, AA
Registration Details
- NPI Number
- 1992939458
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2009 (17.007647670653 yrs)
- Last Updated
- May 12, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
USS WARRIOR MCM 10CREW CONSTANT - EH01FPO, AA, 340931930Browse AA providers · Browse ZIP 34093
- Phone
- 3613850592
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in FPO, AA
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTOPHER LEE HARRIS | IDC | 1932177995 |
| CHRISTOPHER BERNARD BARBER | IDC | 1891763777 |
| MR. RICHARD KEITH MORRISON | — | 1316909294 |
| DAVID MITCHELL EDWARDS | — | 1083670194 |
| MR. MATTHEW WILLIAM CLARK | IDC | 1245284629 |
| MRS. ROSALIND LAJUNE POOLE | IDC | 1558316208 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.