Mochan, Mary

Mochan, Mary is an individual health care provider with primary practice located at 1115 N. California St. , Socorro NM 87801-0642. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mochan, Mary can be contacted via phone (505) 838-0800.

Contact Information

Primary practice address
1115 N. California St. Socorro NM 87801-0642
Fax: (505) 838-3999
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1447 New Mexico

Profile Details

NPI number 1497898357
LBN Legal business name Mochan, Mary
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 9th, 2007 - about 18 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 1497898357 NPPES
New Mexico MEDICAID 00P3051
New Mexico MEDICAID 84521228
New Mexico MEDICAID D4005
New Mexico MEDICAID L5902

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