Allen, Mollyann G.

Allen, Mollyann G. is an individual health care provider with primary practice located at 18185 N 83Rd Ave Bldg D, Ste 107, Glendale AZ 85308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Allen, Mollyann G. can be contacted via phone (623) 583-0306.

Contact Information

Primary practice address
18185 N 83Rd Ave Bldg D, Ste 107 Glendale AZ 85308
Phone: (623) 583-0306
Fax: (623) 583-1349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2167 Arizona

Profile Details

NPI number 1932220639
LBN Legal business name Allen, Mollyann G.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Aug 20th, 2008 - about 17 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 1932220639 NPPES
Arizona Other 2167 LICENSE
Arizona MEDICAID 318488 LICENSE

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