Hauser, Mollie

Hauser, Mollie is an individual health care provider with primary practice located at 4000 28Th Ave S , Moorhead MN 56560-7926. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hauser, Mollie can be contacted via phone (701) 234-3200.

Contact Information

Primary practice address
4000 28Th Ave S Moorhead MN 56560-7926
Phone: (701) 234-3200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 02834 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X 2834 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1289-6-1-23A North Dakota

Profile Details

NPI number 1396310546
LBN Legal business name Hauser, Mollie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2021
Last updated Nov 20th, 2023 - about 2 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 1396310546 NPPES
Minnesota MEDICAID 1588993091

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