Brock, James Edwin

Brock, James Edwin is an individual health care provider with primary practice located at 1500 Associates Dr , Dubuque IA 52002-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Brock, James Edwin can be contacted via phone (563) 584-4415.

Contact Information

Primary practice address
1500 Associates Dr Dubuque IA 52002-2201
Phone: (563) 584-4415
Fax: (563) 584-4195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 19204 Iowa
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 24360 Wisconsin

Profile Details

NPI number 1225087661
LBN Legal business name Brock, James Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 12th, 2011 - about 15 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 1225087661 NPPES
Iowa MEDICAID 0159889

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