Individual
DR. JONATHAN WILLIAM PRATT
Active
Individual
DR. JONATHAN WILLIAM PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
26755
WV
208100000X
Physical Medicine & Rehabilitation Physician
01067039A
IN
208100000X
Physical Medicine & Rehabilitation Physician
KY43013
KY
208VP0014X
Interventional Pain Medicine Physician
01067039A
IN
208VP0014X
Interventional Pain Medicine Physician
KY43013
KY
Other
Enumeration date
09/27/2007
Last updated
04/08/2022
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