Prochaska, Vern John

Prochaska, Vern John is an sole proprietor health care provider with primary practice located at 600 Pleasant Ave S , Park Rapids MN 56470-1431. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Prochaska, Vern John can be contacted via phone (218) 616-3700.

Contact Information

Primary practice address
600 Pleasant Ave S Park Rapids MN 56470-1431
Phone: (218) 616-3700
Fax: (218) 616-3737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7534 Nevada
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 10936 North Dakota

Profile Details

NPI number 1891845947
LBN Legal business name Prochaska, Vern John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Mar 1st, 2019 - about 5 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 1891845947 NPPES
Nevada MEDICAID 002019809

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