Bock, Jeremy S.
Bock, Jeremy S. is an sole proprietor health care provider with primary practice located at 1625 N George Mason Dr Suite 354, Arlington VA 22205-3683. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bock, Jeremy S. can be contacted via phone (703) 717-7780.Contact Information
Primary practice address
1625 N George Mason Dr Suite 354
Arlington VA 22205-3683
Phone: (703) 717-7780
Fax: (703) 717-7781
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101258619 | Virginia |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 0101258619 | Virginia |
Profile Details
NPI number | 1962546366 |
---|---|
LBN Legal business name | Bock, Jeremy S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 18th, 2007 |
Last updated | Dec 29th, 2020 - about 5 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 | 1962546366 | NPPES |
Florida | Other | 32154 | BLUE CROSS |
Florida | MEDICAID | 250569000 | BLUE CROSS |
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