Roger Brock in Hershey - Sleep Disorder Diagnostic

Roger Brock - NPI 1780659698

Roger Brock is a Sleep Disorder Diagnostic in Hershey, Pennsylvania. Roger Brock practices all healthcare services and medical treatments related to Sleep Disorder Diagnostic. The NPI Number for Roger Brock is 1780659698. The last update date is 2011-12-20.

Roger Brock's current location address is 1512 E Caracas Ave, Hershey, Pennsylvania. You can contact this provider via phone number 7173121441 and fax number 7173120441. The mailing address for Roger Brock is 1512 E Caracas Ave, Hershey, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Roger Brock
Address 1512 E Caracas Ave, Hershey, Pennsylvania
Phone Number 7173121441
Fax Number 7173120441
Sole Proprietor --
Credentials --

Authorized Official

Title or Position GENERAL MA
Authorized Official Name Brock R. Roger
Credentials RPSGT
Telephone Number 7173121441

NPI Number Detail

NPI Number 1780659698
Provider Enumeration Date 2006-02-22
Last Updated Date 2011-12-20

Provider Mailing Address Detail

Address 1512 E Caracas Ave
City Hershey
State Pennsylvania (PA)
Post Code 170331184
Phone Number 7173121441
Fax Number 7173120441

Provider's Primary Taxonomy Detail

Speciality Sleep Disorder Diagnostic
Taxonomy 261Qs1200X
Definition:
Diagnoses and treats sleep disorders.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
209611 PA HEALTH AMERICA/ HEALTH AS
30000583 PA KEYSTONE
3138777 PA AETNA - HMO
7567457 PA AETNA NON-HMO
50017664 PW CAPITAL BLUE CROSS
SL1598571 PA HIGHMARK

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FAQs about Roger Brock

What is the unique 10-digit identifier code assigned to Roger Brock by the Centers for Medicare & Medicaid Services?

The Roger Brock has been issued the NPI (National Provider Identifier) 1780659698 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Roger Brock is located?

The Roger Brock is situated at the following address: 1512 E Caracas Ave, Hershey, PA, 170331184.

What is Roger Brock's specialized field of practice, and what is the corresponding taxonomy classification code?

The Roger Brock's area of specialization is Sleep Disorder Diagnostic, and the corresponding taxonomy code that categorizes this field of practice is 261Qs1200X.

When did Roger Brock receive its 1780659698 assignment?

The Roger Brock was assigned its 1780659698 on 2006-02-22, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Roger Brock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Roger Brock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-12-20.

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