Mock, Clare Kelleher

Mock, Clare Kelleher is an individual health care provider with primary practice located at 430 Waterstone Drive , Hillsborough NC 27278. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Mock, Clare Kelleher can be contacted via phone (984) 974-1931.

Contact Information

Primary practice address
430 Waterstone Drive Hillsborough NC 27278
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D74217 Maryland
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2014-00720 North Carolina

Profile Details

NPI number 1720222425
LBN Legal business name Mock, Clare Kelleher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2009
Last updated Apr 2nd, 2021 - 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 1720222425 NPPES
Maryland MEDICAID 055904100

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