Individual
CASON TERRYL BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
5500 PINE LAKE RD, LINCOLN, NE 68516-3389
(402) 489-8888
(402) 421-1945
Mailing address
5500 PINE LAKE RD, LINCOLN, NE 68516-3389
(402) 489-8888
(402) 421-1945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1081
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900419
UNITED HEALTH CARE
—
01
—
238811
MIDLANDS CHOICE
—
01
—
37316
BLUE CROSS BLUE SHIELD
—
01
—
970028756
RR MEDICARE
—
Enumeration date
07/06/2006
Last updated
01/06/2022
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