Prockl, Dallas

Prockl, Dallas is an individual health care provider with primary practice located at 752 N High Point Rd , Madison WI 53717-2236. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Prockl, Dallas can be contacted via phone (608) 824-4000.

Contact Information

Primary practice address
752 N High Point Rd Madison WI 53717-2236
Phone: (608) 824-4000
Fax: (608) 824-4938
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 241852 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 15423 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 15423-30 Wisconsin

Profile Details

NPI number 1316531254
LBN Legal business name Prockl, Dallas
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2021
Last updated Oct 29th, 2024 - about 2 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 1316531254 NPPES
Wisconsin MEDICAID 1316531254

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