Van Mol, Andre'
Van Mol, Andre' is an individual health care provider with primary practice located at 1755 Court St , Redding CA 96001-1721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Van Mol, Andre' can be contacted via phone (530) 247-8800.Contact Information
Primary practice address
1755 Court St
Redding CA 96001-1721
Phone: (530) 247-8800
Fax: (530) 241-1174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G62379 | California |
Profile Details
| NPI number | 1083603203 |
|---|---|
| LBN Legal business name | Van Mol, Andre' |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Nov 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083603203 | NPPES |
| California | MEDICAID | 00G623790 | |
| California | Other | 68-0484253 |
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