Dolan, Thomas Wayne

Dolan, Thomas Wayne is an individual health care provider with primary practice located at 623 N Main St , Orange CA 92868-1103. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Dolan, Thomas Wayne can be contacted via phone (714) 937-1998.

Contact Information

Primary practice address
623 N Main St Orange CA 92868-1103
Phone: (714) 937-1998
Fax: (714) 937-1994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CO001146 California

Profile Details

NPI number 1245461771
LBN Legal business name Dolan, Thomas Wayne
Credentials Certified Orthotist (CO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2009
Last updated Mar 10th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245461771 NPPES
California Other XA0011460 MEDI-CAL PROVIDER#
California Other 200114 MEDI-CAL PROVIDER#

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