Bock, Peter A

Bock, Peter A is an individual health care provider with primary practice located at 11164 S Noble Dr , Olathe KS 66061-7572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bock, Peter A can be contacted via phone (913) 829-2440.

Contact Information

Primary practice address
11164 S Noble Dr Olathe KS 66061-7572
Fax: (913) 338-1311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-21026 Kansas

Profile Details

NPI number 1629050166
LBN Legal business name Bock, Peter A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Dec 31st, 2012 - about 13 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 1629050166 NPPES
Kansas MEDICAID 100153680D

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