Prohazka, Donna
Prohazka, Donna is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5703. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Prohazka, Donna can be contacted via phone (715) 387-5511.Contact Information
Primary practice address
1000 N Oak Ave
Marshfield WI 54449-5703
Phone: (715) 387-5511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 117502 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 117502 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 117502 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 53021 | Wisconsin |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 53021 | Wisconsin |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 53021 | Wisconsin |
Profile Details
| NPI number | 1710907142 |
|---|---|
| LBN Legal business name | Prohazka, Donna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Mar 10th, 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 | 1710907142 | NPPES |
| Missouri | MEDICAID | 203840202 | |
| Missouri | Other | 75030 | |
| Missouri | Other | 11377 | |
| Missouri | Other | 300092272 | |
| Missouri | Other | 250846 | |
| Missouri | Other | 5106488 | |
| Missouri | Other | 1853 | |
| Missouri | Other | 434759 |
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