Provider Demographics
NPI:1033419965
Name:MOLINARO, JOSEPH A
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
Last Name:MOLINARO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 SNELLING AVE N
Mailing Address - Street 2:265
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-1876
Mailing Address - Country:US
Mailing Address - Phone:651-600-3245
Mailing Address - Fax:651-600-3182
Practice Address - Street 1:2680 SNELLING AVE N
Practice Address - Street 2:265
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-1876
Practice Address - Country:US
Practice Address - Phone:651-600-3245
Practice Address - Fax:651-600-3182
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2693237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist