Bock, S. Allan

Bock, S. Allan is an individual health care provider with primary practice located at 3950 Broadway St , Boulder CO 80304-1104. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bock, S. Allan can be contacted via phone (303) 444-5991.

Contact Information

Primary practice address
3950 Broadway St Boulder CO 80304-1104
Phone: (303) 444-5991
Fax: (303) 443-5030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 18479 Colorado

Profile Details

NPI number 1760429153
LBN Legal business name Bock, S. Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 26th, 2008 - about 17 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 1760429153 NPPES
Colorado MEDICAID 01184795

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