Prock, Terasa Louise

Prock, Terasa Louise is an individual health care provider with primary practice located at 310 Sunnyview Ln , Kalispell MT 59901-3129. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Prock, Terasa Louise can be contacted via phone (406) 751-6725.

Contact Information

Primary practice address
310 Sunnyview Ln Kalispell MT 59901-3129
Phone: (406) 751-6725
Fax: (406) 758-5170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MED-PHYS-LIC-99776 Montana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X DR55865 Colorado
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MED-PHYS-LIC-99776 Montana

Profile Details

NPI number 1528288974
LBN Legal business name Prock, Terasa Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Aug 10th, 2021 - about 4 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 1528288974 NPPES
Colorado Other 311325 IM

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