Provider Demographics
NPI:1215254883
Name:MOLECULAR HEALTH CARE USA LLC
Entity type:Organization
Organization Name:MOLECULAR HEALTH CARE USA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DIRK
Authorized Official - Middle Name:JOHANNES
Authorized Official - Last Name:STRONCK
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:505-988-4210
Mailing Address - Street 1:1480 S SAINT FRANCIS DR
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4038
Mailing Address - Country:US
Mailing Address - Phone:505-988-4210
Mailing Address - Fax:505-992-2685
Practice Address - Street 1:1480 S SAINT FRANCIS DR
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4038
Practice Address - Country:US
Practice Address - Phone:505-988-4210
Practice Address - Fax:505-992-2685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty