Brock, David G.
Brock, David G. is an individual health care provider with primary practice located at 900 Walnut St 2Nd Floor, Philadelphia PA 19107-5509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Brock, David G. can be contacted via phone (215) 955-1234.Contact Information
Primary practice address
900 Walnut St 2Nd Floor
Philadelphia PA 19107-5509
Phone: (215) 955-1234
Fax: (215) 923-3504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD-059703-L | Pennsylvania |
Profile Details
| NPI number | 1447273057 |
|---|---|
| LBN Legal business name | Brock, David G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Mar 1st, 2011 - about 13 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 | 1447273057 | NPPES |
| Pennsylvania | MEDICAID | 001600151 | |
| Pennsylvania | MEDICAID | 6527108 |
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