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Contact Information

MOLLY M MCQUILLAN
40722 OH-154
LISBON, OH44432
 Phone: 330-424-9573
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for MOLLY M MCQUILLAN · (Female)

NPI Number 1023794575
Status Active
Credentials
Entity Individual
Enumeration date 06/27/2023
Last updated 12/11/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OH Medicaid 2910854
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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