Brock, Arthur L

Brock, Arthur L is an individual health care provider with primary practice located at 3800 S Whitney Ave # 200, Independence MO 64055-6765. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brock, Arthur L can be contacted via phone (816) 478-4887.

Contact Information

Primary practice address
3800 S Whitney Ave # 200 Independence MO 64055-6765
Fax: (816) 478-7222
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R7469 Missouri

Profile Details

NPI number 1295738219
LBN Legal business name Brock, Arthur L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 18th, 2008 - about 16 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 1295738219 NPPES
Missouri MEDICAID 201536901

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