Augustine, Molly

Augustine, Molly is an sole proprietor health care provider with primary practice located at 5803 Neal Ave N , Oak Park Heights MN 55082-2177. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Augustine, Molly can be contacted via phone (651) 351-2653.

Contact Information

Primary practice address
5803 Neal Ave N Oak Park Heights MN 55082-2177
Phone: (651) 351-2653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2193 Minnesota

Profile Details

NPI number 1275946394
LBN Legal business name Augustine, Molly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2014
Last updated Jun 5th, 2014 - 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 1275946394 NPPES
Minnesota Other 2193 STATE OF MINNESOTA BOARD OF MEDICAL PRACTICE

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