Brock, Raymond Donald

Brock, Raymond Donald is an individual health care provider with primary practice located at 1708 E 5550 S Ste 23 , Ogden UT 84403-4308. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Brock, Raymond Donald can be contacted via phone (801) 475-4673.

Contact Information

Primary practice address
1708 E 5550 S Ste 23 Ogden UT 84403-4308
Phone: (801) 475-4673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1477217768
LBN Legal business name Brock, Raymond Donald
Credentials CPSS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2021
Last updated Oct 24th, 2021 - about 4 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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