Brock, Jesse Stayton

Brock, Jesse Stayton is an individual health care provider with primary practice located at 11270 82Nd St E , Parrish FL 34219-2705. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Brock, Jesse Stayton can be contacted via phone (941) 504-2372.

Contact Information

Primary practice address
11270 82Nd St E Parrish FL 34219-2705
Phone: (941) 504-2372
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AP4543 Florida

Profile Details

NPI number 1659141968
LBN Legal business name Brock, Jesse Stayton
Credentials A.P. DOM
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2024
Last updated Jan 8th, 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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