Moll, John Joseph

Moll, John Joseph is an individual health care provider with primary practice located at 3525 S National Ave Ste 101 , Springfield MO 65807-7315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moll, John Joseph can be contacted via phone (417) 269-9950.

Contact Information

Primary practice address
3525 S National Ave Ste 101 Springfield MO 65807-7315
Fax: (417) 269-9959
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2006008759 Missouri

Profile Details

NPI number 1275506099
LBN Legal business name Moll, John Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Aug 31st, 2022 - about 2 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 1275506099 NPPES
Missouri MEDICAID 207544909

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