Benjamin Dale Prohaska in Reno - Physician Assistant
Benjamin Dale Prohaska - NPI 1174652143
Benjamin Dale Prohaska is a Physician Assistant in Reno, Nevada. Benjamin Dale Prohaska practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Benjamin Dale Prohaska is 1174652143. The last update date is 2022-01-18.
Benjamin Dale Prohaska's current location address is 10085 Double R Blvd, Reno, Nevada. You can contact this provider via phone number 7759827260 and fax number 7759827268. The mailing address for Benjamin Dale Prohaska is 10085 Double R Blvd, Reno, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Dale Prohaska |
|---|---|
| Address | 10085 Double R Blvd, Reno, Nevada |
| Phone Number | 7759827260 |
| Fax Number | 7759827268 |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1174652143 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2022-01-18 |
Provider Mailing Address Detail
| Address | 10085 Double R Blvd |
|---|---|
| City | Reno |
| State | Nevada (NV) |
| Post Code | 89521 |
| Phone Number | 7759827260 |
| Fax Number | 7759827268 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA943 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00426676 | NV | RAILROAD MEDICARE | |
| 12780456 | CAQH |
Post Comment/ Review Below
What is the unique identifier code issued to Benjamin Dale Prohaska by the Centers for Medicare & Medicaid Services (CMS)?
The Benjamin Dale Prohaska has been assigned the NPI (National Provider Identifier) 1174652143. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Benjamin Dale Prohaska's facilities are geographically located?
The facilities of Benjamin Dale Prohaska are physically situated at the following location: 10085 Double R Blvd, Reno, NV, 89521.
What is Benjamin Dale Prohaska's area of expertise and its corresponding taxonomy classification?
The Benjamin Dale Prohaska's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Benjamin Dale Prohaska receive its 1174652143 assignment from the Centers for Medicare & Medicaid Services?
The Benjamin Dale Prohaska was assigned its 1174652143 by the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the Benjamin Dale Prohaska's information last updated?
The Benjamin Dale Prohaska's information was last updated on 2022-01-18.
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