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Contact Information

PAUL M BROCK III, PA-C
908 E 16TH ST STE B
WILMINGTON, DE19802-5145
 Phone: 302-575-1414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PAUL M BROCK III · (Male)

NPI Number 1376318543
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/17/2023
Last updated 11/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C5-0012004
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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