Prochaska, Kristin Marie

Prochaska, Kristin Marie is an individual health care provider with primary practice located at 128 Medical Park Rd Ste 201 , Mooresville NC 28117-8579. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Prochaska, Kristin Marie can be contacted via phone (704) 235-1827.

Contact Information

Primary practice address
128 Medical Park Rd Ste 201 Mooresville NC 28117-8579
Phone: (704) 235-1827
Fax: (704) 235-1823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1000130 North Carolina

Profile Details

NPI number 1902882988
LBN Legal business name Prochaska, Kristin Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Apr 25th, 2018 - about 6 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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