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Contact Information

DOMINION HEALTH MEDICAL ASSOC
946 N. MAIN ST
CHASE CITY, VA23924
 Phone: 434-372-5141
 Fax: 434-517-3887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for DOMINION HEALTH MEDICAL ASSOC · (Female)

NPI # 1689772238
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2006
Last updated 02/11/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0101032102
  • VA Medicaid 007610114
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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