Mock, Jason D.
Mock, Jason D. is an individual health care provider with primary practice located at 250 Cetronia Road Suite303, Allentown PA 18104-9168. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is his primary health care specialty. Mock, Jason D. can be contacted via phone (610) 973-6200.Contact Information
Primary practice address
250 Cetronia Road Suite303
Allentown PA 18104-9168
Phone: (610) 973-6200
Fax: (610) 973-6535
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OC008034 | Pennsylvania |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OC008034 | Pennsylvania |
Profile Details
NPI number | 1649217068 |
---|---|
LBN Legal business name | Mock, Jason D. |
Credentials | Occupational Therapist (OT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2006 |
Last updated | Jul 31st, 2009 - about 15 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 | 1649217068 | NPPES |
Pennsylvania | Other | 50058870 | CAPITAL BLUE CROSS |
Pennsylvania | Other | 50058870 | CAPITAL BLUE CROSS |
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