Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35 072629 | OH |
N | 208600000X | Surgeon | 35 072629 | OH |
Y | 2086S0102X | Surgical Critical Care | 35-072629 | OH |
NPI | 1194793786 |
---|---|
Provider Name | Dr. Timothy Alan Pritts |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Cincinnati, OH 45219-4231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 09/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2073698 | (05) | OH |
G88001 | (02) | OH |