Bock, Jonathon M

Bock, Jonathon M is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Department Of Otolaryngology, Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bock, Jonathon M can be contacted via phone (414) 805-8308.

Contact Information

Primary practice address
9200 W Wisconsin Ave Department Of Otolaryngology Milwaukee WI 53226-3522
Phone: (414) 805-8308
Fax: (414) 805-7890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 34749 Iowa
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 52867 Wisconsin

Profile Details

NPI number 1306055868
LBN Legal business name Bock, Jonathon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Feb 8th, 2013 - 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 1306055868 NPPES
Wisconsin MEDICAID 1306055868

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