Brock, Irene Elsie

Brock, Irene Elsie is an sole proprietor health care provider with primary practice located at 137 Brock Rd , Lucedale MS 39452-4665. She recently has only one registered license in Nursing Service Providers / Hemodialysis, which is considered as her primary health care specialty. Brock, Irene Elsie can be contacted via phone (601) 508-3435.

Contact Information

Primary practice address
137 Brock Rd Lucedale MS 39452-4665
Phone: (601) 508-3435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Hemodialysis 163WH0500X R850912 Mississippi

Profile Details

NPI number 1659968360
LBN Legal business name Brock, Irene Elsie
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2020
Last updated Dec 29th, 2020 - about 4 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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