Mock, James E.
Mock, James E. is an sole proprietor health care provider with primary practice located at 2800 N Tenaya Way Suite 202, Las Vegas NV 89128-1100. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mock, James E. can be contacted via phone (702) 255-8877.Contact Information
Primary practice address
2800 N Tenaya Way Suite 202
Las Vegas NV 89128-1100
Phone: (702) 255-8877
Fax: (702) 255-8813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 7780 | Nevada |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 7780 | Nevada |
Profile Details
| NPI number | 1417046822 |
|---|---|
| LBN Legal business name | Mock, James E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 28th, 2022 - about 3 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 | 1417046822 | NPPES |
| Nevada | MEDICAID | 002019815 |
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