Mocca, Jaime
Mocca, Jaime is an individual health care provider with primary practice located at 2401 W Belvedere Ave , Baltimore MD 21215-5216. 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. Mocca, Jaime can be contacted via phone (410) 601-5209.Contact Information
Primary practice address
2401 W Belvedere Ave
Baltimore MD 21215-5216
Phone: (410) 601-5209
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R149525 | Maryland |
Profile Details
NPI number | 1699772038 |
---|---|
LBN Legal business name | Mocca, Jaime |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2005 |
Last updated | Nov 13th, 2008 - about 16 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 | 1699772038 | NPPES |
Maryland | MEDICAID | 404267100 | |
Maryland | Other | 454MI518 |
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