Moll, Dawne Elizabeth

Moll, Dawne Elizabeth is an sole proprietor health care provider with primary practice located at 3107 West Colorado Ave. Pmb 278, Colorado Springs CO 80904. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Moll, Dawne Elizabeth can be contacted via phone (719) 229-5364.

Contact Information

Primary practice address
3107 West Colorado Ave. Pmb 278 Colorado Springs CO 80904
Phone: (719) 229-5364
Fax: (719) 634-3956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT6423 Colorado

Profile Details

NPI number 1457548109
LBN Legal business name Moll, Dawne Elizabeth
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2007
Last updated Oct 8th, 2009 - about 17 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 1457548109 NPPES
Colorado MEDICAID 32572522

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