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Contact Information

ANITA BROCK, PAC
207 FARMINGTON ROAD WEST
ACCOKEEK, MD20607
 Phone: 571-269-1509
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANITA BROCK · (Female)

NPI # 1902134828
Status Active
Credentials PAC
Entity Individual
Enumeration date 12/04/2009
Last updated 12/04/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • DC License # PA030636
  • DC Other PA030636 PAC LICENSE
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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