Grimm, Molly Elizabeth

Grimm, Molly Elizabeth is an individual health care provider with primary practice located at 11840 Southmore Dr Suite 100, Charlotte NC 28277-4466. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Grimm, Molly Elizabeth can be contacted via phone (704) 316-4443.

Contact Information

Primary practice address
11840 Southmore Dr Suite 100 Charlotte NC 28277-4466
Phone: (704) 316-4443
Fax: (704) 316-4444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 13775 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 13775 North Carolina

Profile Details

NPI number 1043566680
LBN Legal business name Grimm, Molly Elizabeth
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2012
Last updated Dec 31st, 2020 - about 5 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 1043566680 NPPES
North Carolina MEDICAID PENDING

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