Prough, David Paul
Prough, David Paul is an sole proprietor health care provider with primary practice located at 1100 E Michigan Ave Suite 300, Jackson MI 49201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Prough, David Paul can be contacted via phone (517) 782-5857.Contact Information
Primary practice address
1100 E Michigan Ave Suite 300
Jackson MI 49201
Phone: (517) 782-5857
Fax: (517) 784-3237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301407188 | Michigan |
Profile Details
| NPI number | 1366465528 |
|---|---|
| LBN Legal business name | Prough, David Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jun 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366465528 | NPPES |
| Michigan | MEDICAID | 102754330 |
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