Braddock, Molly A

Braddock, Molly A is an individual health care provider with primary practice located at 4948 Benchmark Centre Dr , Swansea IL 62226-2027. 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. Braddock, Molly A can be contacted via phone (618) 628-2588.

Contact Information

Primary practice address
4948 Benchmark Centre Dr Swansea IL 62226-2027
Phone: (618) 628-2588
Fax: (618) 628-1363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.006105 Illinois

Profile Details

NPI number 1881134765
LBN Legal business name Braddock, Molly A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2017
Last updated Jan 3rd, 2020 - about 5 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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