Prochaska, Mark Lawrence
Prochaska, Mark Lawrence is an sole proprietor health care provider with primary practice located at 7011 W 121St St Ste 105, Overland Park KS 66209-2029. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Prochaska, Mark Lawrence can be contacted via phone (913) 345-1191.Contact Information
Primary practice address
7011 W 121St St Ste 105
Overland Park KS 66209-2029
Phone: (913) 345-1191
Fax: (913) 345-1464
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 04-21187 | Kansas |
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 04-21187 | Kansas |
Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 04-21187 | Kansas |
Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 04-21187 | Kansas |
Profile Details
NPI number | 1417953290 |
---|---|
LBN Legal business name | Prochaska, Mark Lawrence |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 25th, 2005 |
Last updated | Jul 9th, 2007 - about 17 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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