Mock, Jennifer Leigh

Mock, Jennifer Leigh is an individual health care provider with primary practice located at 601 W 5Th Ave Ste 304 , Spokane WA 99204-2714. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Mock, Jennifer Leigh can be contacted via phone (509) 624-2353.

Contact Information

Primary practice address
601 W 5Th Ave Ste 304 Spokane WA 99204-2714
Phone: (509) 624-2353
Fax: (509) 624-2501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X TL10000801 Washington

Profile Details

NPI number 1326223462
LBN Legal business name Mock, Jennifer Leigh
Credentials MOT, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2008
Last updated Oct 14th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326223462 NPPES
Washington MEDICAID 7680325
Washington Other 99960

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