Brock, Shane
Brock, Shane is an individual health care provider with primary practice located at 1635 S Don Roser Dr Las Cruces Va Cboc, Las Cruces NM 88011-4550. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Brock, Shane can be contacted via phone (575) 522-1241.Contact Information
Primary practice address
1635 S Don Roser Dr Las Cruces Va Cboc
Las Cruces NM 88011-4550
Phone: (575) 522-1241
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | CNP01132/R46618 | New Mexico |
Profile Details
| NPI number | 1487806808 |
|---|---|
| LBN Legal business name | Brock, Shane |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2008 |
| Last updated | Aug 7th, 2015 - about 9 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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