Prah, Gary L
Prah, Gary L is an individual health care provider with primary practice located at 1318 Main St , Lafayette IN 47901-1550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Prah, Gary L can be contacted via phone (765) 742-5254.Contact Information
Primary practice address
1318 Main St
Lafayette IN 47901-1550
Phone: (765) 742-5254
Fax: (765) 742-4991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01026342A | Indiana |
Profile Details
| NPI number | 1215906235 |
|---|---|
| LBN Legal business name | Prah, Gary L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Mar 23rd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215906235 | NPPES |
| Indiana | MEDICAID | 100231570 | |
| Indiana | Other | 000000107537 |
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