Debrock, Bart J
Debrock, Bart J is an individual health care provider with primary practice located at 328 N 2Nd St Ste 200 , Vincennes IN 47591-1353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Debrock, Bart J can be contacted via phone (812) 882-4320.Contact Information
Primary practice address
328 N 2Nd St Ste 200
Vincennes IN 47591-1353
Phone: (812) 882-4320
Fax: (812) 882-2706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 01044481 | Indiana |
Profile Details
| NPI number | 1538155890 |
|---|---|
| LBN Legal business name | Debrock, Bart J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Mar 21st, 2024 - about 8 months 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 | 1538155890 | NPPES |
| Indiana | Other | 000000086989 | ANTHEM |
| Indiana | MEDICAID | 200076370 | ANTHEM |
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