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Contact Information

STEPHEN P MOCK, ATC
1 SHIRA FIELDHOUSE
LAKEVIEW DRIVE
MISSISSIPPI STATE UNIVERSITY, MS39762
 Phone: 662-325-2165
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for STEPHEN P MOCK · (Male)

NPI Number 1780787622
Status Active
Credentials ATC
Entity Individual
Enumeration date 09/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # AT0030
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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