Prokop, Oto
Prokop, Oto is an individual health care provider with primary practice located at 46 Fairview Ave Ste 111 , Skowhegan ME 04976-1481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Prokop, Oto can be contacted via phone (207) 474-0905.Contact Information
Primary practice address
46 Fairview Ave Ste 111
Skowhegan ME 04976-1481
Phone: (207) 474-0905
Fax: (207) 474-6930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD15742 | Maine |
Profile Details
| NPI number | 1083631014 |
|---|---|
| LBN Legal business name | Prokop, Oto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jul 3rd, 2023 - about 2 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 | 1083631014 | NPPES |
| Maine | MEDICAID | 1083631014 |
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