Brock, Ian Leonard

Brock, Ian Leonard is an individual health care provider with primary practice located at 182 Main St , Watertown MA 02472-4409. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Brock, Ian Leonard can be contacted via phone (617) 924-8558.

Contact Information

Primary practice address
182 Main St Watertown MA 02472-4409
Phone: (617) 924-8558
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Internist 111NI0900X 3018 Massachusetts

Profile Details

NPI number 1811032972
LBN Legal business name Brock, Ian Leonard
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Aug 27th, 2008 - about 18 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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