Shrock, David

Shrock, David is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 356 , Jackson MS 39216-4607. 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. Shrock, David can be contacted via phone (601) 200-4644.

Contact Information

Primary practice address
971 Lakeland Dr Ste 356 Jackson MS 39216-4607
Phone: (601) 200-4644
Fax: (601) 200-4645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1234567890 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00333 Mississippi

Profile Details

NPI number 1104288679
LBN Legal business name Shrock, David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2016
Last updated Feb 9th, 2024 - about 2 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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