De Kock, Edwin Andre

De Kock, Edwin Andre is an individual health care provider with primary practice located at 235 E. Rowan Ave Suite 202, Spokane WA 99207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. De Kock, Edwin Andre can be contacted via phone (503) 252-1905.

Contact Information

Primary practice address
235 E. Rowan Ave Suite 202 Spokane WA 99207
Phone: (503) 252-1905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X MD.MD.61124604 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 160835 California

Profile Details

NPI number 1134653348
LBN Legal business name De Kock, Edwin Andre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2017
Last updated Jul 9th, 2021 - about 5 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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