Molina, Rafael Evencio

Molina, Rafael Evencio is an individual health care provider with primary practice located at 1630 13Th Ave , Huntington WV 25701-3812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Molina, Rafael Evencio can be contacted via phone (304) 697-2014.

Contact Information

Primary practice address
1630 13Th Ave Huntington WV 25701-3812
Phone: (304) 697-2014
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35086645 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 21985 West Virginia

Profile Details

NPI number 1003896796
LBN Legal business name Molina, Rafael Evencio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated May 28th, 2024 - 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 1003896796 NPPES
West Virginia MEDICAID 3810001850
West Virginia MEDICAID 2613578
West Virginia Other 000000368678
West Virginia Other 001709560
West Virginia Other 001709561
West Virginia MEDICAID 64107105

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