Krock, Zachary Albert
Krock, Zachary Albert is an individual health care provider with primary practice located at 3D Marine Raider Battalion Psc 20073 , Camp Lejeune NC 28542-0073. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Krock, Zachary Albert can be contacted via phone (916) 884-4929.Contact Information
Primary practice address
3D Marine Raider Battalion Psc 20073
Camp Lejeune NC 28542-0073
Phone: (916) 884-4929
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1063135242 |
|---|---|
| LBN Legal business name | Krock, Zachary Albert |
| Credentials | MILITARY HEALTH CARE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2022 |
| Last updated | Sep 22nd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063135242 | NPPES |
| Other | 1391686943 | DOD PROVIDER |
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