Roadhouse, Brock

Roadhouse, Brock is an individual health care provider with primary practice located at 231 S 3Rd St , Las Vegas NV 89101-5914. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Roadhouse, Brock can be contacted via phone (702) 468-7218.

Contact Information

Primary practice address
231 S 3Rd St Las Vegas NV 89101-5914
Phone: (702) 468-7218
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 103TB0200X Nevada

Profile Details

NPI number 1659792117
LBN Legal business name Roadhouse, Brock
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2013
Last updated Dec 30th, 2013 - about 13 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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