Prahlow, Timothy Herbert
Prahlow, Timothy Herbert is an individual health care provider with primary practice located at 3500 Franciscan Way , Michigan City IN 46360-0021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Prahlow, Timothy Herbert can be contacted via phone (219) 879-8511.Contact Information
Primary practice address
3500 Franciscan Way
Michigan City IN 46360-0021
Phone: (219) 879-8511
Fax: (219) 877-1081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01044539A | Indiana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036113678 | Illinois |
Profile Details
| NPI number | 1538152434 |
|---|---|
| LBN Legal business name | Prahlow, Timothy Herbert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jan 23rd, 2024 - about 10 months 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 | 1538152434 | NPPES |
| Indiana | Other | 351173213 | SAGAMORE |
| Indiana | Other | 82428 | SAGAMORE |
| Indiana | Other | 5229701 | SAGAMORE |
| Indiana | Other | 5535745002 | SAGAMORE |
| Indiana | Other | 351173213 | SAGAMORE |
| Indiana | MEDICAID | 200185560 | SAGAMORE |
| Indiana | Other | 351173213 | SAGAMORE |
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