Molis, Marc A.

Molis, Marc A. is an individual health care provider with primary practice located at 2901 86Th St , Urbandale IA 50322-4201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Molis, Marc A. can be contacted via phone (515) 276-3406.

Contact Information

Primary practice address
2901 86Th St Urbandale IA 50322-4201
Phone: (515) 276-3406
Fax: (515) 276-5141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47097 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35723 Iowa

Profile Details

NPI number 1366499964
LBN Legal business name Molis, Marc A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Jun 10th, 2013 - 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 1366499964 NPPES
Iowa MEDICAID 0400370
Iowa MEDICAID 1366499964
Iowa MEDICAID 34847600
Iowa Other P01169442

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