Mock, Erica
Mock, Erica is an sole proprietor health care provider with primary practice located at 1415 W Dakota Pkwy , Williston ND 58801-3885. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mock, Erica can be contacted via phone (701) 572-6757.Contact Information
Primary practice address
1415 W Dakota Pkwy
Williston ND 58801-3885
Phone: (701) 572-6757
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1023 | North Dakota |
Profile Details
| NPI number | 1336389311 |
|---|---|
| LBN Legal business name | Mock, Erica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2009 |
| Last updated | Mar 3rd, 2009 - 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 | 1336389311 | NPPES |
| North Dakota | Other | 1023 | STATE LICENSE |
| North Dakota | MEDICAID | 52388 | STATE LICENSE |
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