Rock, Peter T

Rock, Peter T is an sole proprietor health care provider with primary practice located at 2645 N Laurel Rd , London KY 40741-9075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rock, Peter T can be contacted via phone (606) 843-6195.

Contact Information

Primary practice address
2645 N Laurel Rd London KY 40741-9075
Phone: (606) 843-6195
Fax: (606) 843-6222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23757 Kentucky

Profile Details

NPI number 1053303735
LBN Legal business name Rock, Peter T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Nov 29th, 2007 - about 17 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 1053303735 NPPES
Kentucky Other 000000047128 BCBS-LCMC
Kentucky Other 000000107907 BCBS-LCMC
Kentucky MEDICAID 64237571 BCBS-LCMC
Kentucky Other 000000068618 BCBS-LCMC
Kentucky Other 000000107860 BCBS-LCMC

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