Prochnau, Jay

Prochnau, Jay is an individual health care provider with primary practice located at 1500 Salem St , Lafayette IN 47904-2164. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Prochnau, Jay can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
1500 Salem St Lafayette IN 47904-2164
Phone: (765) 448-8000
Fax: (765) 448-8564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 01060643A Indiana

Profile Details

NPI number 1366411878
LBN Legal business name Prochnau, Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Feb 10th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366411878 NPPES
Indiana Other 000000372081 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200536580 ANTHEM PROVIDER NUMBER
Indiana Other 9333888 ANTHEM PROVIDER NUMBER
Indiana Other 11438471 ANTHEM PROVIDER NUMBER

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