Choca, Pedro Ramon
Choca, Pedro Ramon is an individual health care provider with primary practice located at 4131 N 24Th St Ste. B102, Phoenix AZ 85016-6262. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Choca, Pedro Ramon can be contacted via phone (602) 955-6632.Contact Information
Primary practice address
4131 N 24Th St Ste. B102
Phoenix AZ 85016-6262
Phone: (602) 955-6632
Fax: (602) 381-1341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-0638 | Arizona |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 847 | Arizona |
Profile Details
| NPI number | 1154499853 |
|---|---|
| LBN Legal business name | Choca, Pedro Ramon |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Sep 19th, 2013 - about 13 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 | 1154499853 | NPPES |
| Other | 763290 | AETNA BEHAVIORAL HEALTH | |
| Other | AZ0616080 | AETNA BEHAVIORAL HEALTH | |
| Other | 068297000 | AETNA BEHAVIORAL HEALTH |
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