Whalio Doctors

NPI 1366411878

Jay Prochnau, MD

Practitioner Allergy Physician Lafayette, IN

Practice location

Address
1500 Salem St, Lafayette, IN 47904-2164
Phone
(765) 448-8000
Fax
(765) 448-8564
Mailing address
1200 W White River Blvd, Muncie, IN 47303-4988

Registered specialties

Allergy Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 01060643A (IN)

Registry record

NPI
1366411878
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Mar 2006
Record last updated
10 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.