Brock, Jay David

Brock, Jay David is an individual health care provider with primary practice located at 4304 Lafayette Blvd , Fredericksburg VA 22408-4234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brock, Jay David can be contacted via phone (540) 891-5600.

Contact Information

Primary practice address
4304 Lafayette Blvd Fredericksburg VA 22408-4234
Phone: (540) 891-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101032059 Virginia

Profile Details

NPI number 1295721207
LBN Legal business name Brock, Jay David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 8th, 2007 - about 18 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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