Individual
ALICE A. DACHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 446-5956
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5225
(740) 446-5956
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
15255
WV
208600000X
Surgery Physician
Primary
35-05-3018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006551
ANTHEM BCBS
—
01
—
000000181428
UNISON MEDICAID
OH
01
—
001714046
MOUNTAIN STATE BCBS
—
05
—
0124072000
—
WV
01
—
020017725
RR MEDICARE
—
01
—
0631945
MOLINA MEDICAID
OH
01
—
310917085089
CARESOURCE MEDICAID
OH
Enumeration date
05/17/2006
Last updated
01/21/2021
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