Hockett, Nicole Lauren

Hockett, Nicole Lauren is an individual health care provider with primary practice located at 15710 Lasselle St Apt 6P , Moreno Valley CA 92551-1681. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Hockett, Nicole Lauren can be contacted via phone (909) 800-7828.

Contact Information

Primary practice address
15710 Lasselle St Apt 6P Moreno Valley CA 92551-1681
Phone: (909) 800-7828
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 70687 California

Profile Details

NPI number 1073143129
LBN Legal business name Hockett, Nicole Lauren
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2020
Last updated Jan 16th, 2020 - about 5 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 1073143129 NPPES
California MEDICAID 70687

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