Prochoda, Michael

Prochoda, Michael is an individual health care provider with primary practice located at 555 Prospect Ave , Estes Park CO 80517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Prochoda, Michael can be contacted via phone (970) 586-2200.

Contact Information

Primary practice address
555 Prospect Ave Estes Park CO 80517
Phone: (970) 586-2200
Fax: (970) 577-4536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 33113 Colorado

Profile Details

NPI number 1679565600
LBN Legal business name Prochoda, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 20th, 2018 - about 7 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 1679565600 NPPES
Colorado MEDICAID 01331131
Colorado Other 180041875
Colorado Other PR74021
Colorado MEDICAID 36273821

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