Prochaska, Judy H
Prochaska, Judy H is an sole proprietor health care provider with primary practice located at 2101 E 38Th St , Davenport IA 52807. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Prochaska, Judy H can be contacted via phone (563) 359-4049.Contact Information
Primary practice address
2101 E 38Th St
Davenport IA 52807
Phone: (563) 359-4049
Fax: (563) 359-4069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 01160 | Iowa |
Profile Details
| NPI number | 1295782175 |
|---|---|
| LBN Legal business name | Prochaska, Judy H |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | Apr 18th, 2013 - about 11 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 | 1295782175 | NPPES |
| Iowa | MEDICAID | 1108750000 |
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