Brock, Anita

Brock, Anita is an individual health care provider with primary practice located at 207 Farmington Road West , Accokeek MD 20607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Brock, Anita can be contacted via phone (571) 269-1509.

Contact Information

Primary practice address
207 Farmington Road West Accokeek MD 20607
Phone: (571) 269-1509
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA030636 District of Columbia

Profile Details

NPI number 1902134828
LBN Legal business name Brock, Anita
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2009
Last updated Dec 4th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902134828 NPPES
District of Columbia Other PA030636 PAC LICENSE

Popular Providers