Brock, Julia

Brock, Julia is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Brock, Julia can be contacted via phone (207) 662-2749.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-2749
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0420010441 Vermont
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD19778 Maine

Profile Details

NPI number 1285688937
LBN Legal business name Brock, Julia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Oct 10th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285688937 NPPES
Vermont MEDICAID 1009000

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