Pruchno, Charles

Pruchno, Charles is an individual health care provider with primary practice located at 202 10Th St Se , Cedar Rapids IA 52403-2414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pruchno, Charles can be contacted via phone (319) 247-3899.

Contact Information

Primary practice address
202 10Th St Se Cedar Rapids IA 52403-2414
Phone: (319) 247-3899
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27892 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-27892 Iowa

Profile Details

NPI number 1194762849
LBN Legal business name Pruchno, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated May 9th, 2018 - about 7 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 1194762849 NPPES
Iowa MEDICAID 1101865

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