Provider Demographics
NPI:1386616175
Name:TROSTLE, MOLLY B (DO)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:B
Last Name:TROSTLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:B
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:881 HILLS PLZ
Mailing Address - Street 2:SUITE 530
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-4213
Mailing Address - Country:US
Mailing Address - Phone:814-419-8084
Mailing Address - Fax:814-419-8053
Practice Address - Street 1:881 HILLS PLZ
Practice Address - Street 2:SUITE 530
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-4213
Practice Address - Country:US
Practice Address - Phone:814-419-8084
Practice Address - Fax:814-419-8053
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS011902207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001478798OtherHIGHMARK
PAH50269Medicare UPIN
051966Medicare ID - Type Unspecified