Mary Jo Brock is a Neonatal in Indianapolis, Indiana. Mary Jo Brock practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Mary Jo Brock is 1770657348. The last update date is 2011-03-02.
Mary Jo Brock's current location address is 705 Riley Hospital Dr, Indianapolis, Indiana. You can contact this provider via phone number 3172744715 and fax number 3172742065. The mailing address for Mary Jo Brock is 705 Riley Hospital Dr, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Brock |
|---|---|
| Address | 705 Riley Hospital Dr, Indianapolis, Indiana |
| Phone Number | 3172744715 |
| Fax Number | 3172742065 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1770657348 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2011-03-02 |
Provider Mailing Address Detail
| Address | 705 Riley Hospital Dr |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462025109 |
| Phone Number | 3172744715 |
| Fax Number | 3172742065 |
Provider's Primary Taxonomy Detail
| Speciality | Neonatal |
|---|---|
| Taxonomy | 363Ln0000X |
| Licence No | 71001637 |
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Definition: An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200367730 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Jo Brock by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Jo Brock has been assigned the NPI (National Provider Identifier) 1770657348. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Mary Jo Brock located?
The Mary Jo Brock is located at 705 Riley Hospital Dr, Indianapolis, IN 462025109.
What is Mary Jo Brock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Jo Brock is Neonatal, and the corresponding taxonomy classification code for this specialized field is 363Ln0000X.
On what date did Mary Jo Brock receive its 1770657348 assignment from the Centers for Medicare & Medicaid Services?
The Mary Jo Brock was assigned its 1770657348 on 2006-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mary Jo Brock last refreshed?
The information related to the Mary Jo Brock, including its address, specialty, and other relevant details, was last updated on 2011-03-02.