Smith, Brock

Smith, Brock is an individual health care provider with primary practice located at 1199 Delaware Ave , Marion OH 43302-6475. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Smith, Brock can be contacted via phone (440) 260-8300.

Contact Information

Primary practice address
1199 Delaware Ave Marion OH 43302-6475
Phone: (440) 260-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio
Other Service Providers / Community Health Worker 172V00000X Ohio

Profile Details

NPI number 1376173864
LBN Legal business name Smith, Brock
Credentials QMHS CMS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2020
Last updated Jan 23rd, 2020 - about 4 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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