Bock, Jeremy S.

Bock, Jeremy S. is an sole proprietor health care provider with primary practice located at 1625 N George Mason Dr Suite 354, Arlington VA 22205-3683. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bock, Jeremy S. can be contacted via phone (703) 717-7780.

Contact Information

Primary practice address
1625 N George Mason Dr Suite 354 Arlington VA 22205-3683
Phone: (703) 717-7780
Fax: (703) 717-7781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101258619 Virginia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 0101258619 Virginia

Profile Details

NPI number 1962546366
LBN Legal business name Bock, Jeremy S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2007
Last updated Dec 29th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962546366 NPPES
Florida Other 32154 BLUE CROSS
Florida MEDICAID 250569000 BLUE CROSS

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