Individual
MR. JOHN E PRATT
Active
Individual
MR. JOHN E PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
ALLS 2277
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101390000
BILLING PROVIDER
—
Enumeration date
04/23/2009
Last updated
04/23/2009
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