Notbohm, Molly Jean

Notbohm, Molly Jean is an sole proprietor health care provider with primary practice located at 12311 Perry Hwy , Wexford PA 15090-8344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Notbohm, Molly Jean can be contacted via phone (878) 332-4387.

Contact Information

Primary practice address
12311 Perry Hwy Wexford PA 15090-8344
Phone: (878) 332-4387
Fax: (412) 332-4490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA055861 Pennsylvania

Profile Details

NPI number 1801130893
LBN Legal business name Notbohm, Molly Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Feb 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801130893 NPPES
Pennsylvania MEDICAID 103162687
Pennsylvania Other 12482518

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