Rock, Janice

Rock, Janice is an individual health care provider with primary practice located at 80 68Th St Se , Grand Rapids MI 49548-6980. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rock, Janice can be contacted via phone (616) 391-8242.

Contact Information

Primary practice address
80 68Th St Se Grand Rapids MI 49548-6980
Fax: (616) 391-8317
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101 007810 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200401569 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS10821 Florida

Profile Details

NPI number 1639140742
LBN Legal business name Rock, Janice
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated May 18th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639140742 NPPES
North Carolina MEDICAID 5907933
North Carolina MEDICAID 3060399

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