Simmons, Molly

Simmons, Molly is an sole proprietor health care provider with primary practice located at 74 East St , Plainville CT 06062-2367. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Simmons, Molly can be contacted via phone (888) 793-3500.

Contact Information

Primary practice address
74 East St Plainville CT 06062-2367
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1811623275
LBN Legal business name Simmons, Molly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2022
Last updated Jul 28th, 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 1811623275 NPPES
Connecticut MEDICAID 003113779

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