Brock, Brigette

Brock, Brigette is an individual health care provider with primary practice located at 330 Borthwick Ave Suite 210, Portsmouth NH 03801-4174. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Brock, Brigette can be contacted via phone (603) 433-8733.

Contact Information

Primary practice address
330 Borthwick Ave Suite 210 Portsmouth NH 03801-4174
Phone: (603) 433-8733
Fax: (603) 433-8834
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2011 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2011 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0987 New Hampshire

Profile Details

NPI number 1871621185
LBN Legal business name Brock, Brigette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated May 9th, 2014 - about 10 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 1871621185 NPPES
New Hampshire Other P01281398 RAILROAD MEDICARE
New Hampshire MEDICAID 3094926 RAILROAD MEDICARE

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