Individual
MR. JOHN E PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 BREEZY MEADOWS, GRAY, ME 04039-0616
(207) 657-4744
Mailing address
PO BOX 616, GRAY, ME 04039-0616
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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