Dommisse, Martha O
Dommisse, Martha O is an individual health care provider with primary practice located at 1201 Broad Rock Blvd , Richmond VA 23249-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Dommisse, Martha O can be contacted via phone (804) 675-6746.Contact Information
Primary practice address
1201 Broad Rock Blvd
Richmond VA 23249-0001
Phone: (804) 675-6746
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 0101240512 | Virginia |
Profile Details
| NPI number | 1083773006 |
|---|---|
| LBN Legal business name | Dommisse, Martha O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Feb 22nd, 2011 - 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.
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