Moldenhauer, Jody L

Moldenhauer, Jody L is an individual health care provider with primary practice located at 1033 Basin Ave Healthways, Bismarck ND 58504-6649. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Moldenhauer, Jody L can be contacted via phone (701) 223-6613.

Contact Information

Primary practice address
1033 Basin Ave Healthways Bismarck ND 58504-6649
Phone: (701) 223-6613
Fax: (701) 221-9114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1368 North Dakota

Profile Details

NPI number 1780658161
LBN Legal business name Moldenhauer, Jody L
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 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 1780658161 NPPES
North Dakota Other 2271970 AMERICA'S PPO ID
North Dakota Other 1368 AMERICA'S PPO ID

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