Naeger, Molly Ellen
Naeger, Molly Ellen is an individual health care provider with primary practice located at 41 Highland Ave , Winchester MA 01890-1446. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Naeger, Molly Ellen can be contacted via phone (315) 254-5770.Contact Information
Primary practice address
41 Highland Ave
Winchester MA 01890-1446
Phone: (315) 254-5770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA6750 | Massachusetts |
Profile Details
| NPI number | 1225504236 |
|---|---|
| LBN Legal business name | Naeger, Molly Ellen |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2018 |
| Last updated | Aug 3rd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225504236 | NPPES |
| Massachusetts | Other | PA6750 | MA STATE LICENSE |
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