Pruchno Medicine, Llc

LBN: Pruchno Medicine, Llc
Pruchno Medicine, Llc is an health care organization with primary practice located at 202 10Th St Se Suite 200, Cedar Rapids IA 52403-2414. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Pruchno Medicine, Llc can be contacted via phone (319) 247-3899, or through Pruchno, Charles J via phone (319) 247-3899.

Contact Information

Primary practice address
202 10Th St Se Suite 200 Cedar Rapids IA 52403-2414
Phone: (319) 247-3899
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pruchno, Charles J Doctor of Medicine (MD)
Phone: (319) 247-3899

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27892 Iowa

Profile Details

NPI number 1225433675
LBN Legal business name Pruchno Medicine, Llc
DBA Doing business as
Authorized official Pruchno, Charles J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2014
Last updated Oct 28th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225433675 NPPES
Iowa MEDICAID 1101865

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