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Contact Information

BENJAMIN D PROHASKA, PHYSICIAN ASSISTANT
10085 DOUBLE R BLVD
STE 310
RENO, NV89521
 Phone: 775-982-7260
 Fax: 775-982-7268
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BENJAMIN D PROHASKA · (Male)

NPI Number 1174652143
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 03/05/2007
Last updated 01/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NV License # PA943
  • Other 12780456 CAQH
  • NV Other P00426676 RAILROAD MEDICARE
Hospital affiliation(s)
  • BANNER LASSEN MEDICAL CENTER - (Critical Access)
    1800 SPRING RIDGE DRIVE
    SUSANVILLE, CA 96130
  • CARSON TAHOE REGIONAL MEDICAL CENTER - (Acute Care)
    1600 MEDICAL PARKWAY
    CARSON CITY, NV 89703
  • CARSON VALLEY MEDICAL CENTER - (Critical Access)
    1107 HIGHWAY 395
    GARDNERVILLE, NV 89410
  • RENOWN REGIONAL MEDICAL CENTER - (Acute Care)
    1155 MILL STREET
    RENO, NV 89502
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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