Brock, Sandra Allene
Brock, Sandra Allene is an sole proprietor health care provider with primary practice located at 101 Twilight St Ne , Palm Bay FL 32907-1151. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Brock, Sandra Allene can be contacted via phone (321) 984-0430.Contact Information
Primary practice address
101 Twilight St Ne
Palm Bay FL 32907-1151
Phone: (321) 984-0430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1134381601 |
|---|---|
| LBN Legal business name | Brock, Sandra Allene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2008 |
| Last updated | Jun 26th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134381601 | NPPES |
| Florida | Other | 230526700 | FLORIDA MEDICAID PROVIDER NUMBER |
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