Mock, Jerry
Mock, Jerry is an individual health care provider with primary practice located at 47 W Pomfret St , Carlisle PA 17013-3217. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mock, Jerry can be contacted via phone (717) 258-0214.Contact Information
Primary practice address
47 W Pomfret St
Carlisle PA 17013-3217
Phone: (717) 258-0214
Fax: (717) 258-3158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 008898L | Pennsylvania |
Profile Details
| NPI number | 1417959354 |
|---|---|
| LBN Legal business name | Mock, Jerry |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Mar 12th, 2010 - about 16 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 | 1417959354 | NPPES |
| Pennsylvania | Other | 122278 | VALUE OPTIONS |
| Pennsylvania | Other | 810554001 | VALUE OPTIONS |
| Pennsylvania | MEDICAID | 0017562050002 | VALUE OPTIONS |
| Pennsylvania | Other | 322506 | VALUE OPTIONS |
| Pennsylvania | Other | 01756205 | VALUE OPTIONS |
| Pennsylvania | Other | 595346 | VALUE OPTIONS |
| Pennsylvania | Other | 01082001 | VALUE OPTIONS |
| Pennsylvania | Other | 810554001 | VALUE OPTIONS |
| Pennsylvania | Other | 810554001 | VALUE OPTIONS |
| Pennsylvania | Other | 485274000 | VALUE OPTIONS |
| Pennsylvania | Other | 810554001 | VALUE OPTIONS |
| Pennsylvania | Other | 810554001 | VALUE OPTIONS |
| Pennsylvania | Other | 810554001 | VALUE OPTIONS |
| Pennsylvania | Other | 810554001 | VALUE OPTIONS |
| Pennsylvania | Other | MO595346 | VALUE OPTIONS |
| Pennsylvania | Other | 810554001 | VALUE OPTIONS |
| Pennsylvania | Other | 7134268 | VALUE OPTIONS |
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