Dawson, Michael A

Dawson, Michael A is an individual health care provider with primary practice located at 9900 W Broad St Suite C, Glen Allen VA 23060-6512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dawson, Michael A can be contacted via phone (804) 358-0361.

Contact Information

Primary practice address
9900 W Broad St Suite C Glen Allen VA 23060-6512
Phone: (804) 358-0361
Fax: (804) 358-4286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 043192 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101252765 Virginia

Profile Details

NPI number 1275562720
LBN Legal business name Dawson, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Feb 19th, 2016 - about 9 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 1275562720 NPPES
Georgia MEDICAID 000738295K

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