Schrock, Brian A

Schrock, Brian A is an individual health care provider with primary practice located at 1111 Trinity Ln Ste 111 , Bloomington IL 61704-8112. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Schrock, Brian A can be contacted via phone (309) 663-6461.

Contact Information

Primary practice address
1111 Trinity Ln Ste 111 Bloomington IL 61704-8112
Phone: (309) 663-6461
Fax: (309) 663-5711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-005406 Illinois

Profile Details

NPI number 1356732101
LBN Legal business name Schrock, Brian A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2015
Last updated May 19th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356732101 NPPES
Illinois Other 085.005406 STATE OF IL LICENSE NUMBER

Popular Providers