Stine, Molly R

Stine, Molly R is an individual health care provider with primary practice located at 1805 27Th St , Portsmouth OH 45662-2640. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Stine, Molly R can be contacted via phone (740) 356-8681.

Contact Information

Primary practice address
1805 27Th St Portsmouth OH 45662-2640
Phone: (740) 356-8681
Fax: (740) 353-7900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA.13731-NA Ohio

Profile Details

NPI number 1497004709
LBN Legal business name Stine, Molly R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2012
Last updated Dec 16th, 2020 - about 4 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 1497004709 NPPES
Ohio MEDICAID 0071633

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