Brock, Henry

Brock, Henry is an individual health care provider with primary practice located at 3495 Bailey Ave , Buffalo NY 14215-1129. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brock, Henry can be contacted via phone (716) 834-9200.

Contact Information

Primary practice address
3495 Bailey Ave Buffalo NY 14215-1129
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 002421-1 New York

Profile Details

NPI number 1306951207
LBN Legal business name Brock, Henry
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1306951207 NPPES
New York Other 002421-1 LICENSE

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