Trock, Gary L
Trock, Gary L is an sole proprietor health care provider with primary practice located at 3555 W 13 Mile Rd Ste N120 , Royal Oak MI 48073-6710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Trock, Gary L can be contacted via phone (855) 863-8761.Contact Information
Primary practice address
3555 W 13 Mile Rd Ste N120
Royal Oak MI 48073-6710
Phone: (855) 863-8761
Fax: (248) 551-9487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 4301042190 | Michigan |
Profile Details
| NPI number | 1578547774 |
|---|---|
| LBN Legal business name | Trock, Gary L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Oct 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578547774 | NPPES |
| Michigan | MEDICAID | 1333405 |
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