Clark, Molly Elizabeth
Clark, Molly Elizabeth is an individual health care provider with primary practice located at 30 Washington St , Wellesley MA 02481-1905. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clark, Molly Elizabeth can be contacted via phone (781) 263-0033.Contact Information
Primary practice address
30 Washington St
Wellesley MA 02481-1905
Phone: (781) 263-0033
Fax: (781) 263-9145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 55906 | Massachusetts |
Profile Details
| NPI number | 1043223324 |
|---|---|
| LBN Legal business name | Clark, Molly Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Sep 20th, 2011 - about 13 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 | 1043223324 | NPPES |
| Massachusetts | MEDICAID | 3006921 |
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