Brock, Ronald A.

Brock, Ronald A. is an individual health care provider with primary practice located at 311 E Spruce St , Garden City KS 67846. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Brock, Ronald A. can be contacted via phone (620) 275-3030.

Contact Information

Primary practice address
311 E Spruce St Garden City KS 67846
Phone: (620) 275-3030
Fax: (620) 275-3025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1144323494
LBN Legal business name Brock, Ronald A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Aug 6th, 2018 - about 6 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 1144323494 NPPES
Kansas Other 15-01597 KANSAS STATE BOARD OF HEALING ARTS

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