Isles, Molly Rose
Isles, Molly Rose is an sole proprietor health care provider with primary practice located at 500 Farrington St , Terre Haute IN 47807-5095. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Isles, Molly Rose can be contacted via phone (812) 917-0068.Contact Information
Primary practice address
500 Farrington St
Terre Haute IN 47807-5095
Phone: (812) 917-0068
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C2-51270 | Indiana |
Profile Details
| NPI number | 1588384770 |
|---|---|
| LBN Legal business name | Isles, Molly Rose |
| Credentials | CADAC II |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2022 |
| Last updated | Aug 30th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588384770 | NPPES |
| Indiana | MEDICAID | C2-51270 |
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