Molamphy, Michael James
Molamphy, Michael James is an sole proprietor health care provider with primary practice located at 1746 Grand Canal Blvd Ste 15 , Stockton CA 95207-8111. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Molamphy, Michael James can be contacted via phone (209) 957-2110.Contact Information
Primary practice address
1746 Grand Canal Blvd Ste 15
Stockton CA 95207-8111
Phone: (209) 957-2110
Fax: (209) 472-9522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6751 TPA | California |
Profile Details
| NPI number | 1609903848 |
|---|---|
| LBN Legal business name | Molamphy, Michael James |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1609903848 | NPPES |
| California | MEDICAID | SD0067510 |
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