Brock, Keith Duane

Brock, Keith Duane is an sole proprietor health care provider with primary practice located at 7426 S Camino Vahcom , Tucson AZ 85757. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Brock, Keith Duane can be contacted via phone (520) 879-5693.

Contact Information

Primary practice address
7426 S Camino Vahcom Tucson AZ 85757
Phone: (520) 879-5693
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-11831 Arizona

Profile Details

NPI number 1154786812
LBN Legal business name Brock, Keith Duane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2015
Last updated Dec 23rd, 2015 - about 10 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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