Pruchnicki, Michael Thomas

Pruchnicki, Michael Thomas is an individual health care provider with primary practice located at 4200 University Ave Ste 300 , West Des Moines IA 50266-5945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Pruchnicki, Michael Thomas can be contacted via phone (515) 401-1950.

Contact Information

Primary practice address
4200 University Ave Ste 300 West Des Moines IA 50266-5945
Phone: (515) 401-1950
Fax: (515) 401-1955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 26940 Iowa

Profile Details

NPI number 1891773271
LBN Legal business name Pruchnicki, Michael Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Mar 31st, 2020 - about 4 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 1891773271 NPPES
Iowa Other 4267 MIDLANDS PROVIDER #
Iowa Other IA0122 MIDLANDS PROVIDER #
Iowa Other 26940 MIDLANDS PROVIDER #
Iowa Other 27660 MIDLANDS PROVIDER #
Iowa Other 050035373 MIDLANDS PROVIDER #
Iowa MEDICAID 0058420 MIDLANDS PROVIDER #

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