Hodges, Molly
Hodges, Molly is an individual health care provider with primary practice located at 2999 N Mayfair Rd , Wauwatosa WI 53222-4306. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hodges, Molly can be contacted via phone (414) 479-7000.Contact Information
Primary practice address
2999 N Mayfair Rd
Wauwatosa WI 53222-4306
Phone: (414) 479-7000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.006720 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085.006720 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085.006720 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5769-23 | Wisconsin |
Profile Details
NPI number | 1245711217 |
---|---|
LBN Legal business name | Hodges, Molly |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 27th, 2018 |
Last updated | May 4th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245711217 | NPPES |
Wisconsin | MEDICAID | 100230074 |
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