Maranto, Molly Henderson

Maranto, Molly Henderson is an individual health care provider with primary practice located at 2539 Viking Dr Ste 101 , Bossier City LA 71111-2165. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Maranto, Molly Henderson can be contacted via phone (318) 747-8100.

Contact Information

Primary practice address
2539 Viking Dr Ste 101 Bossier City LA 71111-2165
Phone: (318) 747-8100
Fax: (318) 747-8150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20017 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 20017 Louisiana

Profile Details

NPI number 1497788517
LBN Legal business name Maranto, Molly Henderson
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Oct 28th, 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 1497788517 NPPES
Louisiana MEDICAID 1627739

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