Mock, Laura Jean
Mock, Laura Jean is an individual health care provider with primary practice located at 1040 Vinehaven Drive , Concord NC 28025-2438. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mock, Laura Jean can be contacted via phone (704) 784-1010.Contact Information
Primary practice address
1040 Vinehaven Drive
Concord NC 28025-2438
Phone: (704) 784-1010
Fax: (704) 784-1013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9501010 | North Carolina |
Profile Details
| NPI number | 1033185053 |
|---|---|
| LBN Legal business name | Mock, Laura Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033185053 | NPPES |
| North Carolina | Other | 59828 | BCBS |
| North Carolina | MEDICAID | 8959828 | BCBS |
| North Carolina | Other | 847472 | BCBS |
| North Carolina | Other | 59778 | BCBS |
| North Carolina | Other | 5413047 | BCBS |
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