Brock, Mickey

Brock, Mickey is an individual health care provider with primary practice located at 11115 Bennington Ave , Kansas City MO 64134-3106. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brock, Mickey can be contacted via phone (816) 316-7750.

Contact Information

Primary practice address
11115 Bennington Ave Kansas City MO 64134-3106
Phone: (816) 316-7750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1598063760
LBN Legal business name Brock, Mickey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2011
Last updated May 30th, 2017 - about 9 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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