Moll, Eric Martin

Moll, Eric Martin is an individual health care provider with primary practice located at 147 N Brent Sreet , Ventura CA 93003. He recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as his primary health care specialty. Moll, Eric Martin can be contacted via phone (805) 652-5011.

Contact Information

Primary practice address
147 N Brent Sreet Ventura CA 93003
Phone: (805) 652-5011
Fax: (805) 585-3007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X G68497 California

Profile Details

NPI number 1861585887
LBN Legal business name Moll, Eric Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861585887 NPPES
California Other ZZZ53994Z BLUE SHIELD
California MEDICAID ZZT40394F BLUE SHIELD
California Other G68497 BLUE SHIELD
California MEDICAID HSC30394F BLUE SHIELD
California Other 050394 BLUE SHIELD
California Other ZZZA56032 BLUE SHIELD

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