Ettenger, Molly

Ettenger, Molly is an individual health care provider with primary practice located at 900 Bryan St , Huntingdon PA 16652-2413. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ettenger, Molly can be contacted via phone (814) 643-8300.

Contact Information

Primary practice address
900 Bryan St Huntingdon PA 16652-2413
Phone: (814) 643-8300
Fax: (814) 643-8299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD033641E Pennsylvania

Profile Details

NPI number 1326044421
LBN Legal business name Ettenger, Molly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Apr 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326044421 NPPES
Pennsylvania Other ET479017 HIGHMARK
Pennsylvania MEDICAID 0010822520006 HIGHMARK
Pennsylvania Other 67407 HIGHMARK

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