Brock, Samuel

Brock, Samuel is an sole proprietor health care provider with primary practice located at 1101 E South River St , Appleton WI 54915-2223. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Brock, Samuel can be contacted via phone (920) 997-2884.

Contact Information

Primary practice address
1101 E South River St Appleton WI 54915-2223
Phone: (920) 997-2884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 15650 Wisconsin

Profile Details

NPI number 1588310221
LBN Legal business name Brock, Samuel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2022
Last updated Feb 22nd, 2022 - about 4 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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