Prokup, Jessica A.

Prokup, Jessica A. is an individual health care provider with primary practice located at 2050 Kenny Rd , Columbus OH 43221-3502. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine. Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine is her primary health care specialty. Prokup, Jessica A. can be contacted via phone (614) 366-9211.

Contact Information

Primary practice address
2050 Kenny Rd Columbus OH 43221-3502
Phone: (614) 366-9211
Fax: (614) 293-1456
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 35147383 Ohio
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 35147383 Ohio

Profile Details

NPI number 1770044653
LBN Legal business name Prokup, Jessica A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2019
Last updated Jul 20th, 2023 - about 3 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 1770044653 NPPES
Ohio MEDICAID 0351783

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