Rock, Jonathan Charles

Rock, Jonathan Charles is an individual health care provider with primary practice located at 950 Medical Dr , Brigham City UT 84302-4724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rock, Jonathan Charles can be contacted via phone (435) 734-9471.

Contact Information

Primary practice address
950 Medical Dr Brigham City UT 84302-4724
Phone: (435) 734-9471
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5571577-1205 Utah
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 19785 Oklahoma

Profile Details

NPI number 1104826700
LBN Legal business name Rock, Jonathan Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jul 18th, 2018 - about 7 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 1104826700 NPPES
Oklahoma MEDICAID 100207220C
Oklahoma Other 243328301

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