Booc, Rockey Diagon
Booc, Rockey Diagon is an sole proprietor health care provider with primary practice located at 3410 Farenholt Ave , San Diego CA 92134-0001. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Booc, Rockey Diagon can be contacted via phone (504) 419-7424.Contact Information
Primary practice address
3410 Farenholt Ave
San Diego CA 92134-0001
Phone: (504) 419-7424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1922594449 |
|---|---|
| LBN Legal business name | Booc, Rockey Diagon |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2018 |
| Last updated | Jul 9th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922594449 | NPPES |
| California | Other | IDC | TRICARE |
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