Camacho, Molly Ann
Camacho, Molly Ann is an individual health care provider with primary practice located at 2590 Holiday Rd Ste 10 , Coralville IA 52241-2815. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Camacho, Molly Ann can be contacted via phone (319) 625-3030.Contact Information
Primary practice address
2590 Holiday Rd Ste 10
Coralville IA 52241-2815
Phone: (319) 625-3030
Fax: (319) 625-3032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 03522 | Iowa |
Profile Details
| NPI number | 1043243009 |
|---|---|
| LBN Legal business name | Camacho, Molly Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1043243009 | NPPES |
| Iowa | Other | 33606 | WELLMARK BCBS |
| Iowa | MEDICAID | 0429274 | WELLMARK BCBS |
| Iowa | Other | F232553 | WELLMARK BCBS |
| Iowa | Other | P00257946 | WELLMARK BCBS |
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