Brock, Joann Elizabeth
Brock, Joann Elizabeth is an sole proprietor health care provider with primary practice located at 51 Blare Castle Dr , Palm Coast FL 32137-7380. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Brock, Joann Elizabeth can be contacted via phone (386) 447-8438.Contact Information
Primary practice address
51 Blare Castle Dr
Palm Coast FL 32137-7380
Phone: (386) 447-8438
Fax: (386) 447-8438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1881855468 |
|---|---|
| LBN Legal business name | Brock, Joann Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2008 |
| Last updated | Jun 17th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881855468 | NPPES |
| Florida | MEDICAID | 680544296 |
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