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Contact Information

IAN L BROCK, D.C.
182 MAIN ST
WATERTOWN, MA02472-4409
 Phone: 617-924-8558
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for IAN L BROCK · (Male)

NPI # 1811032972
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 02/20/2007
Last updated 08/27/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 3018
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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