Bock, Crista
Bock, Crista is an individual health care provider with primary practice located at 855 N Euclid Ave , Ontario CA 91762-2729. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bock, Crista can be contacted via phone (909) 983-2020.Contact Information
Primary practice address
855 N Euclid Ave
Ontario CA 91762-2729
Phone: (909) 983-2020
Fax: (909) 983-6847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | RPE 9402 | California |
Profile Details
| NPI number | 1942683826 |
|---|---|
| LBN Legal business name | Bock, Crista |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2015 |
| Last updated | Jul 9th, 2015 - about 9 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 | 1942683826 | NPPES |
| California | MEDICAID | 95-1946482 |
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