Brock, Maci

Brock, Maci is an individual health care provider with primary practice located at 940 Nw Garden Valley Blvd Ste 104 , Roseburg OR 97471-2098. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Brock, Maci can be contacted via phone (541) 378-4104.

Contact Information

Primary practice address
940 Nw Garden Valley Blvd Ste 104 Roseburg OR 97471-2098
Phone: (541) 378-4104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1760043368
LBN Legal business name Brock, Maci
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2019
Last updated Jun 25th, 2019 - about 6 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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