Docekal, Loretta Fern
Docekal, Loretta Fern is an sole proprietor health care provider with primary practice located at 3090 N. Goliad Suite 110 , Rockwall TX 75087. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Docekal, Loretta Fern can be contacted via phone (972) 722-0011.Contact Information
Primary practice address
3090 N. Goliad Suite 110
Rockwall TX 75087
Phone: (972) 722-0011
Fax: (972) 722-0023
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10001357 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00956 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10001357 | Washington |
Profile Details
NPI number | 1114950359 |
---|---|
LBN Legal business name | Docekal, Loretta Fern |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 9th, 2006 |
Last updated | Nov 18th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114950359 | NPPES |
Other | 1017116 | PA CERTIFICATION | |
Other | 0224086 | PA CERTIFICATION | |
Other | 8945047 | PA CERTIFICATION | |
Other | PA10001357 | PA CERTIFICATION | |
MEDICAID | 8465411 | PA CERTIFICATION |
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