Earleywine, Molly Lynn

Earleywine, Molly Lynn is an individual health care provider with primary practice located at 1021 Nebraska St , Sioux City IA 51105-1436. 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. Earleywine, Molly Lynn can be contacted via phone (712) 252-2477.

Contact Information

Primary practice address
1021 Nebraska St Sioux City IA 51105-1436
Phone: (712) 252-2477
Fax: (712) 252-5516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001317 Iowa

Profile Details

NPI number 1912991183
LBN Legal business name Earleywine, Molly Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Feb 17th, 2011 - about 14 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 1912991183 NPPES
Iowa MEDICAID 0092080

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