Bock, Joanna M.

Bock, Joanna M. is an individual health care provider with primary practice located at 41816 Fenway Cir , Ashburn VA 20148-8069. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bock, Joanna M. can be contacted via phone (347) 761-7200.

Contact Information

Primary practice address
41816 Fenway Cir Ashburn VA 20148-8069
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME116776 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101259225 Virginia

Profile Details

NPI number 1780728188
LBN Legal business name Bock, Joanna M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2007
Last updated Dec 1st, 2015 - about 11 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 1780728188 NPPES
Florida Other P01396279 RAILROAD MEDICARE PROVIDER NUMBER
Florida MEDICAID 012948100 RAILROAD MEDICARE PROVIDER NUMBER

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