Brock, Gregory K
Brock, Gregory K is an individual health care provider with primary practice located at 1436 Locust St , Terre Haute IN 47807-1648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brock, Gregory K can be contacted via phone (812) 232-7447.Contact Information
Primary practice address
1436 Locust St
Terre Haute IN 47807-1648
Phone: (812) 232-7447
Fax: (812) 232-6962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02001784 | Indiana |
Profile Details
| NPI number | 1952374779 |
|---|---|
| LBN Legal business name | Brock, Gregory K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Nov 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952374779 | NPPES |
| Indiana | Other | 080190613 | RAILROAD MEDICARE |
| Indiana | MEDICAID | 200179390 | RAILROAD MEDICARE |
| Indiana | Other | P00950465 | RAILROAD MEDICARE |
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