Brock, Gregory K

Brock, Gregory K is an individual health care provider with primary practice located at 1436 Locust St , Terre Haute IN 47807-1648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brock, Gregory K can be contacted via phone (812) 232-7447.

Contact Information

Primary practice address
1436 Locust St Terre Haute IN 47807-1648
Phone: (812) 232-7447
Fax: (812) 232-6962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02001784 Indiana

Profile Details

NPI number 1952374779
LBN Legal business name Brock, Gregory K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Nov 24th, 2014 - about 12 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 1952374779 NPPES
Indiana Other 080190613 RAILROAD MEDICARE
Indiana MEDICAID 200179390 RAILROAD MEDICARE
Indiana Other P00950465 RAILROAD MEDICARE

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