Brock, Heather Dawn
Brock, Heather Dawn is an individual health care provider with primary practice located at 401 Evergreen Ave , Brewton AL 36426-2066. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Brock, Heather Dawn can be contacted via phone (251) 286-8234.Contact Information
Primary practice address
401 Evergreen Ave
Brewton AL 36426-2066
Phone: (251) 286-8234
Fax: (251) 286-8233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11015727 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1-182636 | Alabama |
Profile Details
| NPI number | 1003574500 |
|---|---|
| LBN Legal business name | Brock, Heather Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2021 |
| Last updated | Mar 27th, 2024 - about 2 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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