Brock, Jason L

Brock, Jason L is an individual health care provider with primary practice located at 2534 Trident Way , San Diego CA 92155-5493. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Brock, Jason L can be contacted via phone (619) 437-2544.

Contact Information

Primary practice address
2534 Trident Way San Diego CA 92155-5493
Phone: (619) 437-2544
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X 170101002X California

Profile Details

NPI number 1811122393
LBN Legal business name Brock, Jason L
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2009
Last updated May 27th, 2009 - about 15 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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