Bock, Sandra Gay
Bock, Sandra Gay is an individual health care provider with primary practice located at Vabos 1400 Vfw Pkwy Occ Health Rm Ga153, West Roxbury MA 02132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bock, Sandra Gay can be contacted via phone (617) 323-7700.Contact Information
Primary practice address
Vabos 1400 Vfw Pkwy Occ Health Rm Ga153
West Roxbury MA 02132
Phone: (617) 323-7700
Fax: (857) 203-5583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1972563922 |
|---|---|
| LBN Legal business name | Bock, Sandra Gay |
| Credentials | PA-C, M.ED. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1972563922 | NPPES |
| Massachusetts | Other | 14 | MA PA LIC |
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