Bock, Sandra Gay

Bock, Sandra Gay is an individual health care provider with primary practice located at Vabos 1400 Vfw Pkwy Occ Health Rm Ga153, West Roxbury MA 02132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bock, Sandra Gay can be contacted via phone (617) 323-7700.

Contact Information

Primary practice address
Vabos 1400 Vfw Pkwy Occ Health Rm Ga153 West Roxbury MA 02132
Phone: (617) 323-7700
Fax: (857) 203-5583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1972563922
LBN Legal business name Bock, Sandra Gay
Credentials PA-C, M.ED.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 8th, 2007 - 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 1972563922 NPPES
Massachusetts Other 14 MA PA LIC

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