Prohaska, John
Prohaska, John is an sole proprietor health care provider with primary practice located at 13549 N Sanders Rd , Marana AZ 85653-9505. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Prohaska, John can be contacted via phone (520) 682-1091.Contact Information
Primary practice address
13549 N Sanders Rd
Marana AZ 85653-9505
Phone: (520) 682-1091
Fax: (520) 682-4132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-0494 | Arizona |
Profile Details
| NPI number | 1780781633 |
|---|---|
| LBN Legal business name | Prohaska, John |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Sep 7th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780781633 | NPPES |
| Arizona | MEDICAID | 757924 |
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