Prochnow, Susann J

Prochnow, Susann J is an individual health care provider with primary practice located at 5768 S Semoran Blvd , Orlando FL 32822-4818. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Prochnow, Susann J can be contacted via phone (407) 896-2323.

Contact Information

Primary practice address
5768 S Semoran Blvd Orlando FL 32822-4818
Phone: (407) 896-2323
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1083763114
LBN Legal business name Prochnow, Susann J
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jan 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083763114 NPPES
Florida MEDICAID 758603500

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