Brock, Jessica M

Brock, Jessica M is an individual health care provider with primary practice located at 169 Highland Dr , Mandeville LA 70471. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as her primary health care specialty. Brock, Jessica M can be contacted via phone (504) 621-2912.

Contact Information

Primary practice address
169 Highland Dr Mandeville LA 70471
Phone: (504) 621-2912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 5969 Louisiana

Profile Details

NPI number 1962636233
LBN Legal business name Brock, Jessica M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2009
Last updated May 14th, 2009 - about 17 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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