Brock, Samantha Gwen

Brock, Samantha Gwen is an sole proprietor health care provider with primary practice located at 51St Mdg Unit 2060, 51St Medical Group, Apo AP 96278-2060. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Brock, Samantha Gwen can be contacted via phone (315) 784-0196.

Contact Information

Primary practice address
51St Mdg Unit 2060, 51St Medical Group Apo AP 96278-2060
Phone: (315) 784-0196
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 01083831A Indiana

Profile Details

NPI number 1104323880
LBN Legal business name Brock, Samantha Gwen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2018
Last updated Nov 21st, 2023 - about 2 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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