Bock, Jeffrey S

Bock, Jeffrey S is an individual health care provider with primary practice located at 105 S State St Suite 113, Aberdeen SD 57401-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bock, Jeffrey S can be contacted via phone (605) 225-0378.

Contact Information

Primary practice address
105 S State St Suite 113 Aberdeen SD 57401-4500
Phone: (605) 225-0378
Fax: (605) 225-7919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3787 South Dakota

Profile Details

NPI number 1649274481
LBN Legal business name Bock, Jeffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 2nd, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649274481 NPPES
North Dakota MEDICAID 10217
North Dakota MEDICAID 5610100
North Dakota MEDICAID 5610102

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