person
Jay Prochnau, MD
Allergy Physician in Lafayette, Indiana
NPI 1366411878

Jay Prochnau is an Allergy Physician based in Muncie, IN and is specialized in Allergy. Jay Prochnau practices in Lafayette, IN and has the professional credentials of MD. The NPI Number for Jay Prochnau is 1366411878 and holds a License No. 01060643A (Indiana).

The current practice location address for Jay Prochnau is 1500 Salem St, Lafayette, IN and can be reached out via phone at 765-448-8000 and via fax at 765-448-8564.

Location: 1500 Salem St, Lafayette, IN, 47303-4988
person
Provider Profile Details
NPI Number
1366411878
Provider Name
Jay Prochnau
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 Salem St, Lafayette, IN, 47303-4988
Phone Number
765-448-8000
Fax Number
765-448-8564
Provider Enumeration Date
03/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000372081 01 IN ANTHEM PROVIDER NUMBER
200536580 05 IN
9333888 01 IN PHCS PID NUMBER
11438471 01 IN CAQH NUMBER
institution
Provider Business Practice Location Address Details
Address
1500 Salem St
City
State
Zip
47904-2164
Phone Number
765-448-8000
Fax Number
765-448-8564
person
Provider Business Mailing Address Details
Address
1500 Salem St
City
State
Zip
47904-2164
Phone Number
765-448-8000
Fax Number
765-448-8564
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
01060643A (Indiana)
Definition
Definition to come...
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