Brock, David Todd

Brock, David Todd is an individual health care provider with primary practice located at 2656 Sw 118Th Ter , Gainesville FL 32608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brock, David Todd can be contacted via phone (614) 226-6436.

Contact Information

Primary practice address
2656 Sw 118Th Ter Gainesville FL 32608
Phone: (614) 226-6436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-00-7161-B Ohio

Profile Details

NPI number 1225009392
LBN Legal business name Brock, David Todd
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Aug 29th, 2018 - about 7 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 1225009392 NPPES
Ohio MEDICAID 2472702

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