| John F Prokop, Do Llc | |
|
128 E Milltown Rd Ste 105 Wooster OH 44691-1276 | |
| (330) 345-8060 | |
| (330) 345-0702 |
| Full Name | John F Prokop, Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 128 E Milltown Rd Ste 105, Wooster, Ohio |
| Authorized Official Name and Position | John Francis Prokop (PHYSICIAN) |
| Authorized Official Contact | 3303458060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John F Prokop, Do Llc 128 E Milltown Rd Ste 105 Wooster OH 44691-1276 Ph: (330) 345-8060 | John F Prokop, Do Llc 128 E Milltown Rd Ste 105 Wooster OH 44691-1276 Ph: (330) 345-8060 |
| NPI Number | 1376187948 |
|---|---|
| Provider Enumeration Date | 11/06/2019 |
| Last Update Date | 11/06/2019 |
| Medicare PECOS PAC ID | 6204262660 |
|---|---|
| Medicare Enrollment ID | O20200203000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376187948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John F Prokop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396108676 PECOS PAC ID: 1254610819 Enrollment ID: I20190930002584 |
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