Organization
ROGER BROCK
Active
Other names
Sleep Analysis Consultants LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER R. BROCK RPSGT (GENERAL MANAGER)
(717) 312-1441
Entity
Organization
Contact information
Practice address
1512 E CARACAS AVE, SUITE 400, HERSHEY, PA 17033-1184
(717) 312-1441
(717) 312-0441
Mailing address
1512 E CARACAS AVE, SUITE 400, HERSHEY, PA 17033-1184
(717) 312-1441
(717) 312-0441
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209611
HEALTH AMERICA/ HEALTH AS
PA
01
—
30000583
KEYSTONE
PA
01
—
3138777
AETNA - HMO
PA
01
—
50017664
CAPITAL BLUE CROSS
PW
01
—
7567457
AETNA NON-HMO
PA
01
—
SL1598571
HIGHMARK
PA
Enumeration date
02/22/2006
Last updated
12/20/2011
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