Individual
DR. EDWARD ALBERT DACHOWSKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5000
(740) 446-5317
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1562
(740) 446-5387
(740) 446-5387
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
21800
WV
2084P0800X
Psychiatry Physician
Primary
35075957
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000185250
UNISON MEDICAID
OH
01
—
000000315703
ANTHEM BCBS
—
05
—
1810653000
—
WV
01
—
2167060
MOLINA MEDICAID
OH
05
—
2167060
—
OH
01
—
310917085121
CARESOURCE MEDICAID
OH
01
—
P00292069
RR MEDICARE
—
Enumeration date
02/24/2006
Last updated
01/21/2021
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