Prochaska, Vern John
Prochaska, Vern John is an sole proprietor health care provider with primary practice located at 600 Pleasant Ave S , Park Rapids MN 56470-1431. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Prochaska, Vern John can be contacted via phone (218) 616-3700.Contact Information
Primary practice address
600 Pleasant Ave S
Park Rapids MN 56470-1431
Phone: (218) 616-3700
Fax: (218) 616-3737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 7534 | Nevada |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 10936 | North Dakota |
Profile Details
| NPI number | 1891845947 |
|---|---|
| LBN Legal business name | Prochaska, Vern John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Mar 1st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891845947 | NPPES |
| Nevada | MEDICAID | 002019809 |
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