Mock, Alivia L
Mock, Alivia L is an individual health care provider with primary practice located at 915 S Riverside Dr Ne , Mcconnelsville OH 43756-9102. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Mock, Alivia L can be contacted via phone (740) 962-5204.Contact Information
Primary practice address
915 S Riverside Dr Ne
Mcconnelsville OH 43756-9102
Phone: (740) 962-5204
Fax: (740) 962-3688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1871124321 |
|---|---|
| LBN Legal business name | Mock, Alivia L |
| Credentials | AAS, QMHS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2020 |
| Last updated | Feb 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871124321 | NPPES |
| Ohio | MEDICAID | 0389216 |
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