Michael E. Brock, D.O., P.S.C.

LBN: Michael E. Brock, D.O., P.S.C.
Michael E. Brock, D.O., P.S.C. is an health care organization with primary practice located at 2920 Winchester Ave Suite 1, Ashland KY 41101-1962. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Michael E. Brock, D.O., P.S.C. can be contacted via phone (606) 326-0640, or through Brock, Michael Eugene via phone (606) 326-0640.

Contact Information

Primary practice address
2920 Winchester Ave Suite 1 Ashland KY 41101-1962
Phone: (606) 326-0640
Fax: (606) 326-0650
Website:
Map and Directions
Authorized official contact:
Name: Brock, Michael Eugene Doctor of Osteopathy (DO)
Phone: (606) 326-0640

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1770782674
LBN Legal business name Michael E. Brock, D.O., P.S.C.
DBA Doing business as
Authorized official Brock, Michael Eugene Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2007
Last updated Apr 15th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770782674 NPPES
Kentucky MEDICAID 64081540

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