Bock, Benjamin R
Bock, Benjamin R is an individual health care provider with primary practice located at 3995 Marcola Rd , Springfield OR 97477-7948. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Bock, Benjamin R can be contacted via phone (541) 726-1465.Contact Information
Primary practice address
3995 Marcola Rd
Springfield OR 97477-7948
Phone: (541) 726-1465
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2142 | Oregon |
Profile Details
| NPI number | 1982753810 |
|---|---|
| LBN Legal business name | Bock, Benjamin R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Nov 12th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982753810 | NPPES |
| Oregon | Other | 2142 | STATE PSYCHOLOGIST LICENSE |
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