Dasovich, Nicholes A

Dasovich, Nicholes A is an individual health care provider with primary practice located at 142 S Main St Emergency Dept, Danville VA 24541-2922. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dasovich, Nicholes A can be contacted via phone (434) 799-2222.

Contact Information

Primary practice address
142 S Main St Emergency Dept Danville VA 24541-2922
Phone: (434) 799-2222
Fax: (434) 799-3857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110001598 Virginia

Profile Details

NPI number 1720033798
LBN Legal business name Dasovich, Nicholes A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Sep 3rd, 2010 - about 16 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 1720033798 NPPES
Virginia MEDICAID 010187966

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