Broock, Gerald Jay
Broock, Gerald Jay is an sole proprietor health care provider with primary practice located at 123 Nw 12Th Ave Apt. 1426, Portland OR 97209-4143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Broock, Gerald Jay can be contacted via phone (757) 561-6056.Contact Information
Primary practice address
123 Nw 12Th Ave Apt. 1426
Portland OR 97209-4143
Phone: (757) 561-6056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD27913 | Oregon |
Profile Details
| NPI number | 1780952515 |
|---|---|
| LBN Legal business name | Broock, Gerald Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2011 |
| Last updated | Dec 7th, 2011 - about 14 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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