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Contact Information

BROCK C HARNISCH
2230 E 12TH ST
FREMONT, NE68025-1610
 Phone: 312-375-4601
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for BROCK C HARNISCH · (Male)

NPI Number 1700378577
Status Active
Credentials
Entity Individual
Enumeration date 06/06/2018
Last updated 06/06/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 1476109
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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