Molstad, Jerome Mark

Molstad, Jerome Mark is an individual health care provider with primary practice located at 210 W 1St St , Saint Francis KS 67756-3540. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Molstad, Jerome Mark can be contacted via phone (785) 332-2104.

Contact Information

Primary practice address
210 W 1St St Saint Francis KS 67756-3540
Phone: (785) 332-2104
Fax: (785) 332-3255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00204 Kansas

Profile Details

NPI number 1578500286
LBN Legal business name Molstad, Jerome Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jul 21st, 2022 - about 3 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 1578500286 NPPES
Kansas MEDICAID 100414790A

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