Doloresco, Mark A
Doloresco, Mark A is an individual health care provider with primary practice located at 445 Charles H Dimmock Pkwy Ste 100 , Colonial Heights VA 23834-2990. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Doloresco, Mark A can be contacted via phone (804) 520-1764.Contact Information
Primary practice address
445 Charles H Dimmock Pkwy Ste 100
Colonial Heights VA 23834-2990
Phone: (804) 520-1764
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101048055 | Virginia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101048055 | Virginia |
Profile Details
| NPI number | 1952326217 |
|---|---|
| LBN Legal business name | Doloresco, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 15th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952326217 | NPPES |
| Virginia | MEDICAID | 569703 | |
| Virginia | Other | P00019576 | |
| Virginia | Other | 3161423 | |
| Virginia | Other | 386554 | |
| Virginia | Other | 210024 | |
| Virginia | Other | 1848343 | |
| Virginia | Other | 569703 |
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