Provider Demographics
NPI:1740171875
Name:HOSACK, MOLLY LOUISE (PARAMEDIC)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:LOUISE
Last Name:HOSACK
Suffix:
Gender:F
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:LOUISE
Other - Last Name:FRAZIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PARAMEDIC
Mailing Address - Street 1:2222 N NEVADA AVE STE 2100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6819
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2222 N NEVADA AVE STE 2100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6819
Practice Address - Country:US
Practice Address - Phone:719-440-6865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COQ191430207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services