Mock, James E.

Mock, James E. is an sole proprietor health care provider with primary practice located at 2800 N Tenaya Way Suite 202, Las Vegas NV 89128-1100. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mock, James E. can be contacted via phone (702) 255-8877.

Contact Information

Primary practice address
2800 N Tenaya Way Suite 202 Las Vegas NV 89128-1100
Phone: (702) 255-8877
Fax: (702) 255-8813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7780 Nevada
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 7780 Nevada

Profile Details

NPI number 1417046822
LBN Legal business name Mock, James E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Jul 28th, 2022 - about 3 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 1417046822 NPPES
Nevada MEDICAID 002019815

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