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Contact Information

TIMOTHY J PRATT, MD
1011 BOWLES AVENUE
SUITE 121
FENTON, MO63026
 Phone: 314-766-2066
 Fax: 636-326-1802
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TIMOTHY J PRATT · (Male)

NPI # 1104872068
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2006
Last updated 06/19/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MO License # R9E55
  • MO Medicaid 202477915
Hospital affiliation(s)
  • SSM ST CLARE HEALTH CENTER - (Acute Care)
    1015 BOWLES
    FENTON, MO 63026
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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