Dolack, George L
Dolack, George L is an individual health care provider with primary practice located at 4011 Talbot Road South Suite 500, Renton WA 98055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Dolack, George L can be contacted via phone (425) 251-5110.Contact Information
Primary practice address
4011 Talbot Road South Suite 500
Renton WA 98055
Phone: (425) 251-5110
Fax: (425) 793-7376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD00023180 | Washington |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD00023180 | Washington |
Profile Details
| NPI number | 1326122268 |
|---|---|
| LBN Legal business name | Dolack, George L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jan 22nd, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326122268 | NPPES |
| Washington | Other | 110138451 | RR MEDICARE |
| Washington | Other | 0111626 | RR MEDICARE |
| Washington | MEDICAID | 8107757 | RR MEDICARE |
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