Dock, Emily L

Dock, Emily L is an individual health care provider with primary practice located at 550 University Blvd , Indianapolis IN 46202-5149. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Dock, Emily L can be contacted via phone (317) 944-0920.

Contact Information

Primary practice address
550 University Blvd Indianapolis IN 46202-5149
Fax: (317) 963-5446
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 28167119A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71004074A Indiana

Profile Details

NPI number 1083970339
LBN Legal business name Dock, Emily L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2012
Last updated Jan 25th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083970339 NPPES
Indiana MEDICAID 201250410

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