Molly Jean Paulson in Grand Rapids - Medical
Molly Jean Paulson - NPI 1558578641
Molly Jean Paulson is a Medical in Grand Rapids, Michigan. Molly Jean Paulson practices all healthcare services and medical treatments related to Medical. The NPI Number for Molly Jean Paulson is 1558578641. The last update date is 2023-03-07.
Molly Jean Paulson's current location address is 2126 3 Mile Rd Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163639280. The mailing address for Molly Jean Paulson is 2126 3 Mile Rd Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Molly Jean Paulson |
|---|---|
| Address | 2126 3 Mile Rd Ne, Grand Rapids, Michigan |
| Phone Number | 6163639280 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1558578641 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2126 3 Mile Rd Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495053442 |
| Phone Number | 6163639280 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601003048 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5601003048 | MI | PHYSICIAN ASSISTANT LICEN |
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What is the Molly Jean Paulson's 1558578641?
The Molly Jean Paulson's NPI (National Provider Identifier) Number is 1558578641. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Molly Jean Paulson located?
The Molly Jean Paulson is located at 2126 3 Mile Rd Ne, Grand Rapids, MI 495053442.
What is Molly Jean Paulson's area of expertise and its corresponding taxonomy classification?
The Molly Jean Paulson's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1558578641 to Molly Jean Paulson?
The Molly Jean Paulson received its 1558578641 assignment from the Centers for Medicare & Medicaid Services on 2007-05-17.
As of what date was the information regarding Molly Jean Paulson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Molly Jean Paulson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.