Molitor, Jerry A

Molitor, Jerry A is an individual health care provider with primary practice located at 516 Delaware Street Se, Clinic 6A Ump Medicine Specialties Clinic, Minneapolis MN 55455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Molitor, Jerry A can be contacted via phone (612) 884-0649.

Contact Information

Primary practice address
516 Delaware Street Se, Clinic 6A Ump Medicine Specialties Clinic Minneapolis MN 55455
Phone: (612) 884-0649
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD00035031 Washington

Profile Details

NPI number 1235147331
LBN Legal business name Molitor, Jerry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Oct 31st, 2012 - about 13 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 1235147331 NPPES
Washington Other MD9155W ALASKA MEDICAID
Washington Other 6118MO ALASKA MEDICAID
Washington Other US2338018 ALASKA MEDICAID
Washington Other 660003069 ALASKA MEDICAID
Washington Other 805452300 ALASKA MEDICAID
Washington MEDICAID 8256877 ALASKA MEDICAID
Washington Other 0039583 ALASKA MEDICAID

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