Dodt, Molly S

Dodt, Molly S is an individual health care provider with primary practice located at 3920 St Francis Way Ste 209 , Lafayette IN 47905-4917. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dodt, Molly S can be contacted via phone (765) 775-2830.

Contact Information

Primary practice address
3920 St Francis Way Ste 209 Lafayette IN 47905-4917
Phone: (765) 775-2830
Fax: (765) 775-2826
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71006548A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71006548A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71006548A Indiana

Profile Details

NPI number 1730637992
LBN Legal business name Dodt, Molly S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2016
Last updated May 23rd, 2023 - about last year

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 1730637992 NPPES
Indiana MEDICAID 201392760

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