Schock, Andrew C

Schock, Andrew C is an individual health care provider with primary practice located at 700 E Manitoba Ave Suite 101, Ellensburg WA 98926-3885. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Schock, Andrew C can be contacted via phone (509) 925-6100.

Contact Information

Primary practice address
700 E Manitoba Ave Suite 101 Ellensburg WA 98926-3885
Phone: (509) 925-6100
Fax: (509) 925-7604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10003463 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1720001092
LBN Legal business name Schock, Andrew C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 30th, 2013 - about 12 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 1720001092 NPPES
Washington MEDICAID 8402836

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