Brock, Robert C

Brock, Robert C is an individual health care provider with primary practice located at 609 W Maple Ave , Springdale AR 72764-5335. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brock, Robert C can be contacted via phone (479) 751-3722.

Contact Information

Primary practice address
609 W Maple Ave Springdale AR 72764-5335
Phone: (479) 751-3722
Fax: (479) 751-1099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COO156 Arkansas

Profile Details

NPI number 1679533301
LBN Legal business name Brock, Robert C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Sep 23rd, 2019 - about 5 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 1679533301 NPPES
Arkansas Other 771011201 ARKANSAS BREASTCARE
Arkansas MEDICAID 100786670A ARKANSAS BREASTCARE
Arkansas MEDICAID 112044001 ARKANSAS BREASTCARE

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