Molloy, Seth Shawn

Molloy, Seth Shawn is an individual health care provider with primary practice located at 1910 Blanding St , Columbia SC 29201-3520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Molloy, Seth Shawn can be contacted via phone (803) 256-4107.

Contact Information

Primary practice address
1910 Blanding St Columbia SC 29201-3520
Phone: (803) 256-4107
Fax: (803) 254-2825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 125053302 Illinois
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 36195 South Carolina

Profile Details

NPI number 1306171608
LBN Legal business name Molloy, Seth Shawn
Credentials D.O., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2009
Last updated Apr 30th, 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 1306171608 NPPES
South Carolina MEDICAID 361960

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