Rivest, Molly Zoe

Rivest, Molly Zoe is an individual health care provider with primary practice located at 780 Main Street , Great Barrington MA 01230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rivest, Molly Zoe can be contacted via phone (413) 528-1470.

Contact Information

Primary practice address
780 Main Street Great Barrington MA 01230
Fax: (413) 528-3167
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2281796 Massachusetts

Profile Details

NPI number 1043692205
LBN Legal business name Rivest, Molly Zoe
Credentials DNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2015
Last updated Jul 21st, 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 1043692205 NPPES
Massachusetts MEDICAID 110104269A

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