Brock, Daniel Perry

Brock, Daniel Perry is an individual health care provider with primary practice located at 2601 Lake Dr Ste 201 , Raleigh NC 27607-6689. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Brock, Daniel Perry can be contacted via phone (919) 341-3623.

Contact Information

Primary practice address
2601 Lake Dr Ste 201 Raleigh NC 27607-6689
Phone: (919) 341-3623
Fax: (919) 782-1669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 181529 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 079666 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2099 North Carolina

Profile Details

NPI number 1720252430
LBN Legal business name Brock, Daniel Perry
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Sep 7th, 2023 - about 3 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 1720252430 NPPES
North Carolina MEDICAID 8053243
North Carolina Other 1720252430
North Carolina Other P00631832

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