Matthews, Molly Anne

Matthews, Molly Anne is an individual health care provider with primary practice located at 2900 State St , Medford OR 97504-8458. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Matthews, Molly Anne can be contacted via phone (541) 789-5790.

Contact Information

Primary practice address
2900 State St Medford OR 97504-8458
Phone: (541) 789-5790
Fax: (541) 789-5973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA205662
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0003834 Colorado

Profile Details

NPI number 1891124970
LBN Legal business name Matthews, Molly Anne
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2013
Last updated Aug 2nd, 2021 - about 5 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 1891124970 NPPES
Colorado Other PA0003834 COLORADO LICENSE
Colorado Other PA205662 COLORADO LICENSE

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