Brock, Howard Thomas

Brock, Howard Thomas is an individual health care provider with primary practice located at 914 Broad St Ste 2A, Kingsport TN 37660-3817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brock, Howard Thomas can be contacted via phone (423) 245-6101.

Contact Information

Primary practice address
914 Broad St Ste 2A Kingsport TN 37660-3817
Fax: (423) 245-2396
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD11147 Tennessee

Profile Details

NPI number 1982635553
LBN Legal business name Brock, Howard Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Dec 5th, 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 1982635553 NPPES
Virginia Other 033503 ANTHEM BCBS OF VIRGINIA
Virginia MEDICAID 3173373 ANTHEM BCBS OF VIRGINIA
Virginia Other 5961032 ANTHEM BCBS OF VIRGINIA
Virginia Other 20009691 ANTHEM BCBS OF VIRGINIA
Virginia Other 7305605 ANTHEM BCBS OF VIRGINIA
Virginia Other 0060917 ANTHEM BCBS OF VIRGINIA

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