National Provider Identifier Database

JESSICA M BROCK
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

JESSICA M BROCK
169 HIGHLAND DR
MANDEVILLE, LA70471
Phone: 504-621-2912
Fax:
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for JESSICA M BROCK

NPI Number 1962636233
Credentials
Entity Individual
Enumeration date 05/14/2009
Last updated 05/14/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • LA License #: 5969
Hospital affiliation n/a

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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