Brock, Bonnie Lynn

Brock, Bonnie Lynn is an individual health care provider with primary practice located at 13951 N Scottsdale Rd Ste 110 , Scottsdale AZ 85254-3454. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Naturopath. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Brock, Bonnie Lynn can be contacted via phone (480) 702-1537.

Contact Information

Primary practice address
13951 N Scottsdale Rd Ste 110 Scottsdale AZ 85254-3454
Phone: (480) 702-1537
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164006979 Illinois
Other Service Providers / Naturopath 175F00000X 20-1917 Arizona

Profile Details

NPI number 1285171504
LBN Legal business name Brock, Bonnie Lynn
Credentials MPH, RD, LDN, NMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2017
Last updated Oct 5th, 2021 - about 5 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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