Jay Prochnau is a Allergy in Muncie, Indiana. Jay Prochnau practices all healthcare services and medical treatments related to Allergy. The NPI Number for Jay Prochnau is 1366411878. The last update date is 2021-02-10.
Jay Prochnau's current location address is 1200 W White River Blvd, Muncie, Indiana. You can contact this provider via phone number 8776685621. The mailing address for Jay Prochnau is 1200 W White River Blvd, Muncie, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Prochnau |
|---|---|
| Address | 1200 W White River Blvd, Muncie, Indiana |
| Phone Number | 8776685621 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366411878 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2021-02-10 |
Provider Mailing Address Detail
| Address | 1200 W White River Blvd |
|---|---|
| City | Muncie |
| State | Indiana (IN) |
| Post Code | 473034988 |
| Phone Number | 8776685621 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | 01060643A |
|
Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 372081 | IN | ANTHEM PROVIDER NUMBER | |
| 200536580 | IN | -- | |
| 9333888 | IN | PHCS PID NUMBER | |
| 11438471 | IN | CAQH NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jay Prochnau by the Centers for Medicare & Medicaid Services?
The Jay Prochnau has been issued the NPI (National Provider Identifier) 1366411878, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jay Prochnau's physical address?
The Jay Prochnau is physically located at 1200 W White River Blvd, in the city of Muncie, IN, with the postal code 473034988.
What is Jay Prochnau's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jay Prochnau's specialized field of practice is Allergy, and the corresponding taxonomy code that categorizes this area of specialization is 207Ka0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366411878 to Jay Prochnau?
The Centers for Medicare & Medicaid Services assigned the 1366411878 to Jay Prochnau on 2006-03-16.
As of what date were the Jay Prochnau's details last updated?
The information pertaining to the Jay Prochnau, including its address, specialty, and other details, was most recently updated on 2021-02-10.
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