Molyet, Eileen

Molyet, Eileen is an sole proprietor health care provider with primary practice located at 421 Se Alfred Markham St , Lake City FL 32025-2204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Molyet, Eileen can be contacted via phone (386) 697-1364.

Contact Information

Primary practice address
421 Se Alfred Markham St Lake City FL 32025-2204
Phone: (386) 697-1364
Fax: (888) 370-3379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP1257132 Florida

Profile Details

NPI number 1235123779
LBN Legal business name Molyet, Eileen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Feb 3rd, 2015 - about 11 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 1235123779 NPPES
Florida Other G0073 BLUE SHIELD PROV #
Florida MEDICAID 305412800 BLUE SHIELD PROV #

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