Molly Meghann Henson
Family Doctor
3 Saint Elizabeth Blvd Ste 4000
O Fallon
, Illinois 62269-1284
Molly Meghann Henson
Family Doctor
3 Saint Elizabeth Blvd Ste 4000
O Fallon
, Illinois 62269-1284
(618) 222-4792
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Molly Meghann Henson
- 3 Saint Elizabeth Blvd Ste 4000
- O Fallon, IL
- Zip : 62269-1284
- Fax : (618) 222-4792
- Phone : (618) 233-7880
Second Address
- Molly Meghann Henson
- 3 Saint Elizabeth Blvd Ste 4000
- O Fallon, IL
- Zip : 62269-1284
- Fax : (618) 222-4792
- Phone : (618) 233-7880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 125-XXXXXX | IL |
National Provider Identifier
| NPI | 1003378357 |
|---|---|
| Provider Name | Molly Meghann Henson |
| First Address | O Fallon, IL 62269-1284 |
| Second Address | O Fallon, IL 62269-1284 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2019 |
| Last Update Date | 04/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.