Mock, Stephen

Mock, Stephen is an individual health care provider with primary practice located at 3901 Hoyt Ave , Everett WA 98201-4918. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Mock, Stephen can be contacted via phone (425) 339-5443.

Contact Information

Primary practice address
3901 Hoyt Ave Everett WA 98201-4918
Phone: (425) 339-5443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X MD60546800 Washington

Profile Details

NPI number 1144488503
LBN Legal business name Mock, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2008
Last updated Oct 20th, 2015 - about 9 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 1144488503 NPPES
Washington MEDICAID 2045736

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