Molenich, Shirley A

Molenich, Shirley A is an individual health care provider with primary practice located at 1307 8Th Ave Ste 301, Fort Worth TX 76104-4137. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Molenich, Shirley A can be contacted via phone (817) 920-0900.

Contact Information

Primary practice address
1307 8Th Ave Ste 301 Fort Worth TX 76104-4137
Fax: (817) 920-0969
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E3379 Texas

Profile Details

NPI number 1447244025
LBN Legal business name Molenich, Shirley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 12th, 2013 - about 11 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 1447244025 NPPES
Texas Other 82160Y BCBS OF TX
Texas MEDICAID 133840203 BCBS OF TX

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