Brock, James Edwin
Brock, James Edwin is an individual health care provider with primary practice located at 1500 Associates Dr , Dubuque IA 52002-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Brock, James Edwin can be contacted via phone (563) 584-4415.Contact Information
Primary practice address
1500 Associates Dr
Dubuque IA 52002-2201
Phone: (563) 584-4415
Fax: (563) 584-4195
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 19204 | Iowa |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 24360 | Wisconsin |
Profile Details
NPI number | 1225087661 |
---|---|
LBN Legal business name | Brock, James Edwin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Jan 12th, 2011 - about 14 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 | 1225087661 | NPPES |
Iowa | MEDICAID | 0159889 |
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