Dockeney, Mercedes L

Dockeney, Mercedes L is an individual health care provider with primary practice located at 1006 Tavern Rd , Martinsburg WV 25401-2864. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Dockeney, Mercedes L can be contacted via phone (304) 267-0556.

Contact Information

Primary practice address
1006 Tavern Rd Martinsburg WV 25401-2864
Phone: (304) 267-0556
Fax: (304) 267-1460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AC002386 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0001204998 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 60274 West Virginia

Profile Details

NPI number 1457476624
LBN Legal business name Dockeney, Mercedes L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 1st, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457476624 NPPES
West Virginia MEDICAID 3810010071

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