Prahlow, Nathan

Prahlow, Nathan is an individual health care provider with primary practice located at 355 W 16Th St Suite 4300, Indianapolis IN 46202-2207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Prahlow, Nathan can be contacted via phone (317) 963-7077.

Contact Information

Primary practice address
355 W 16Th St Suite 4300 Indianapolis IN 46202-2207
Fax: (317) 963-7068
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01053141A Indiana

Profile Details

NPI number 1770547788
LBN Legal business name Prahlow, Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Dec 28th, 2020 - about 4 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 1770547788 NPPES
Indiana MEDICAID 200428160

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