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
Health care specialties
| Specialty | Code | License # | 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 11 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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