Prokopova, Katarina

Prokopova, Katarina is an individual health care provider with primary practice located at 242 Brunswick St , Old Town ME 04468-1613. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Prokopova, Katarina can be contacted via phone (207) 827-6128.

Contact Information

Primary practice address
242 Brunswick St Old Town ME 04468-1613
Phone: (207) 827-6128
Fax: (207) 827-6605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD16221 Maine

Profile Details

NPI number 1366479875
LBN Legal business name Prokopova, Katarina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated May 5th, 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 1366479875 NPPES
Maine MEDICAID 305150099

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