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Contact Information

JAMES P PROKOS, PAC
515 W JEFFERSON ST
PETOSKEY, MI49770-2223
 Phone: 231-348-5622
 Fax: 231-348-5625
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JAMES P PROKOS · (Male)

NPI Number 1093740961
Status Active
Credentials PAC
Entity Individual
Enumeration date 07/11/2006
Last updated 11/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601003677
Hospital affiliation(s)
  • MCLAREN-NORTHERN MICHIGAN - (Acute Care)
    416 CONNABLE AVE
    PETOSKEY, MI 49770
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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