Brock, James Richard

Brock, James Richard is an individual health care provider with primary practice located at 405 E Excelsior Ave , Vinita OK 74301-4226. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Brock, James Richard can be contacted via phone (918) 256-6476.

Contact Information

Primary practice address
405 E Excelsior Ave Vinita OK 74301-4226
Phone: (918) 256-6476
Fax: (918) 256-3628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1801306022
LBN Legal business name Brock, James Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2017
Last updated Oct 2nd, 2017 - about 8 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.

Request for update

Popular Providers