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
Fax: (530) 241-1174
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083603203 NPPES
California MEDICAID 00G623790
California Other 68-0484253

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