Brock, Tristan John-Mykal

Brock, Tristan John-Mykal is an individual health care provider with primary practice located at 32100 Telegraph Rd Ste 205 , Bingham Farms MI 48025-2454. He recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as his primary health care specialty. Brock, Tristan John-Mykal can be contacted via phone (248) 712-4266.

Contact Information

Primary practice address
32100 Telegraph Rd Ste 205 Bingham Farms MI 48025-2454
Phone: (248) 712-4266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1407457021
LBN Legal business name Brock, Tristan John-Mykal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2020
Last updated Nov 2nd, 2020 - about 4 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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