Molby, Nicholas K.

Molby, Nicholas K. is an individual health care provider with primary practice located at 7424 Bridgeport Way W Ste 201 , Lakewood WA 98499-8134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Molby, Nicholas K. can be contacted via phone (253) 240-2110.

Contact Information

Primary practice address
7424 Bridgeport Way W Ste 201 Lakewood WA 98499-8134
Fax: (253) 240-2111
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X OP61284760 Washington

Profile Details

NPI number 1366835191
LBN Legal business name Molby, Nicholas K.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2015
Last updated Nov 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366835191 NPPES
Washington MEDICAID 2212502

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