Prorok, Alexander Mark

Prorok, Alexander Mark is an sole proprietor health care provider with primary practice located at 3670 County Road 4990 , Willow Springs MO 65793-0506. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Nursing Service Related Providers / Personal Care Attendant. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Prorok, Alexander Mark can be contacted via phone (417) 469-2951.

Contact Information

Primary practice address
3670 County Road 4990 Willow Springs MO 65793-0506
Phone: (417) 469-2951
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2002032260 Missouri
Agencies / Day Training, Developmentally Disabled Services 251C00000X 2002032260 Missouri
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 2002032260 Missouri
Respite Care Facility / Respite Care 385H00000X 2002032260 Missouri
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 2002032260 Missouri

Profile Details

NPI number 1598742777
LBN Legal business name Prorok, Alexander Mark
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Aug 26th, 2008 - about 17 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 1598742777 NPPES
Missouri MEDICAID 498342609
Missouri MEDICAID 858342603

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