Doubledee, Brock J
Doubledee, Brock J is an individual health care provider with primary practice located at 1600 W 22Nd , Sioux Falls SD 57105-1521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Doubledee, Brock J can be contacted via phone (605) 312-1000.Contact Information
Primary practice address
1600 W 22Nd
Sioux Falls SD 57105-1521
Phone: (605) 312-1000
Fax: (605) 312-1001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 47322 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 5852 | South Dakota |
Profile Details
| NPI number | 1013994730 |
|---|---|
| LBN Legal business name | Doubledee, Brock J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Apr 4th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013994730 | NPPES |
| Minnesota | MEDICAID | 620933500 |
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