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Contact Information

SIDNEY C PRUITT III, DC
103 E LONE STAR
CLEBURNE, TX76031
 Phone: 817-645-8116
 Fax: 817-558-8116
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for SIDNEY C PRUITT III · (Male)

NPI Number 1497760813
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 07/31/2006
Last updated 06/13/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 4810
  • TX Medicaid C06019489
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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