- Practice location
- 28 Park Ave, Williston, VT 05495
- Phone
- 802-878-1008
- Fax
- 802-872-2679
- Last updated
- July 8, 2007
Molly Backup is a Physician Assistant, Medical based in Williston, VT. Molly Backup practices in Williston, VT and has the professional credentials of PA. The NPI Number for Molly Backup is 1700972486 and holds a License No. 0550030406 (VT). The current practice location address for Molly Backup is 28 Park Ave, Williston, VT 05495 and can be reached out via phone at 802-878-1008 and via fax at 802-872-2679.
Provider Profile Details
- NPI Number
- 1700972486
- Provider Name
- Molly Backup
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 28 Park Ave, Williston, VT 05495
- Phone Number
- 802-878-1008
- Fax Number
- 802-872-2679
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 4, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 28 Park Ave
Williston, VT 05495 - City
- Williston
- State
- Vermont
- Zip
- 05495
- Phone Number
- 802-878-1008
- Fax Number
- 802-872-2679
Provider Business Mailing Address Details
- Address
- 28 Park Ave
Williston, VT 05495 - City
- Williston
- State
- VT
- Zip
- 05495
- Phone Number
- 802-878-1008
- Fax Number
- 802-872-2679
License Information
- License Number
- 0550030406
- License State
- VT
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Molly Backup, PA?
The NPI number of Molly Backup, PA is 1700972486. It was assigned on October 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Molly Backup, PA?
Molly Backup, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in VT under license number 0550030406.
Where does Molly Backup, PA practice?
The practice location is 28 Park Ave, Williston, VT 05495. The office can be reached at 802-878-1008 (phone) or 802-872-2679 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700972486 directly on the NPPES registry website.