Mollner, Mark A

Mollner, Mark A is an individual health care provider with primary practice located at 576 Jefferson Ave Mcdonald Army Health Center- Family Health Clinic, Fort Eustis VA 23604-1602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mollner, Mark A can be contacted via phone (757) 314-7613.

Contact Information

Primary practice address
576 Jefferson Ave Mcdonald Army Health Center- Family Health Clinic Fort Eustis VA 23604-1602
Phone: (757) 314-7613
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 24151992 Virginia

Profile Details

NPI number 1417949447
LBN Legal business name Mollner, Mark A
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Oct 21st, 2011 - about 13 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 1417949447 NPPES
Virginia MEDICAID 010115035

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