Molk, Gary Ian
Molk, Gary Ian is an individual health care provider with primary practice located at 1919 Lathrop St Ste 105 , Fairbanks AK 99701-5937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Molk, Gary Ian can be contacted via phone (907) 459-3545.Contact Information
Primary practice address
1919 Lathrop St Ste 105
Fairbanks AK 99701-5937
Phone: (907) 459-3545
Fax: (907) 328-0474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 8512A | Wyoming |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 107960 | Alaska |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 8512A | Wyoming |
Profile Details
| NPI number | 1629233895 |
|---|---|
| LBN Legal business name | Molk, Gary Ian |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2008 |
| Last updated | Mar 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629233895 | NPPES |
| Alaska | MEDICAID | 1647591 |
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