Dolmatova, Marina Viktorovna

Dolmatova, Marina Viktorovna is an sole proprietor health care provider with primary practice located at 3825 Martin Way E Ste 104 , Olympia WA 98506-5278. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dolmatova, Marina Viktorovna can be contacted via phone (866) 599-3376.

Contact Information

Primary practice address
3825 Martin Way E Ste 104 Olympia WA 98506-5278
Phone: (866) 599-3376
Fax: (503) 362-8435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X RN60656201 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP61194717 Washington

Profile Details

NPI number 1043865421
LBN Legal business name Dolmatova, Marina Viktorovna
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2019
Last updated Feb 6th, 2024 - about 9 months 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 1043865421 NPPES
Washington MEDICAID AP61194717

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