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Contact Information

CECILLY A PRATT, MD
15959 HALL RD STE 104
MACOMB, MI48044
 Phone: 586-884-2688
 Fax: 586-566-1674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CECILLY A PRATT · (Female)

NPI # 1548226467
Status Active
Credentials MD
Entity Individual
Enumeration date 04/21/2006
Last updated 09/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 069696
  • MI License # 4301078472
  • MI Medicaid 464270910
  • MI Other 700E012740 BCBSM GROUP NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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