Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0101049791 | VA |
NPI | 1003841008 |
---|---|
Provider Name | John R Prahinski |
First Address | Lynchburg, VA 24501-2184 |
Second Address | Lynchburg, VA 24501-2184 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 15/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010056942 | (05) | VA |
I03595 | (02) | |
P00215133 | MEDICARE RAILROAD PIN (01) | VA |
P01584770 | MEDICARE RR (01) |