D'Costa, Molly M

D'Costa, Molly M is an individual health care provider with primary practice located at 2710 111Th Street , Naperville IL 60565-1189. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. D'Costa, Molly M can be contacted via phone (630) 355-9531.

Contact Information

Primary practice address
2710 111Th Street Naperville IL 60565-1189
Phone: (630) 355-9531
Fax: (630) 355-9532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3463 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036116813 Illinois

Profile Details

NPI number 1033199369
LBN Legal business name D'Costa, Molly M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 9th, 2007 - about 19 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 1033199369 NPPES
Iowa MEDICAID 2271700
Iowa MEDICAID 1271700
Iowa MEDICAID 3271700
Iowa MEDICAID 4271700

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