Brock, Norma

Brock, Norma is an sole proprietor health care provider with primary practice located at 807 E Ponce De Leon Ave , Decatur GA 30030. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Brock, Norma can be contacted via phone (770) 853-1974.

Contact Information

Primary practice address
807 E Ponce De Leon Ave Decatur GA 30030
Phone: (770) 853-1974
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN080668 Georgia

Profile Details

NPI number 1740315704
LBN Legal business name Brock, Norma
Credentials Certified Registered Nurse, First Assistant (CRNFA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jul 19th, 2018 - about 8 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 1740315704 NPPES
Georgia Other RN080668 STATE LICENSE

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