Srock, Katy Jean

Srock, Katy Jean is an sole proprietor health care provider with primary practice located at 520 Nw 5Th St , Brainerd MN 56401-2902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Srock, Katy Jean can be contacted via phone (218) 829-3235.

Contact Information

Primary practice address
520 Nw 5Th St Brainerd MN 56401-2902
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X R 210000-5 Minnesota

Profile Details

NPI number 1790138550
LBN Legal business name Srock, Katy Jean
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2016
Last updated Nov 29th, 2018 - about 6 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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