Dorlac, Gina Renee

Dorlac, Gina Renee is an individual health care provider with primary practice located at 234 Goodman St , Cincinnati OH 45219-2364. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Dorlac, Gina Renee can be contacted via phone (513) 584-4318.

Contact Information

Primary practice address
234 Goodman St Cincinnati OH 45219-2364
Fax: (513) 584-3020
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X K8125 Texas
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 35-090682 Ohio

Profile Details

NPI number 1316905300
LBN Legal business name Dorlac, Gina Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Feb 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316905300 NPPES
Ohio MEDICAID 2821889

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