Mock, Raymond A
Mock, Raymond A is an individual health care provider with primary practice located at 833 Princeton Ave Sw Ste 200A , Birmingham AL 35211. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Mock, Raymond A can be contacted via phone (205) 786-2776.Contact Information
Primary practice address
833 Princeton Ave Sw Ste 200A
Birmingham AL 35211
Phone: (205) 786-2776
Fax: (205) 786-6227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | R865463 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 1-083338 | Alabama |
Profile Details
| NPI number | 1740308121 |
|---|---|
| LBN Legal business name | Mock, Raymond A |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Apr 17th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740308121 | NPPES |
| Mississippi | MEDICAID | 07506279 |
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