Provider Demographics
NPI:1255837225
Name:DORICH HEALTHCARE INCORPORATED
Entity Type:Organization
Organization Name:DORICH HEALTHCARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GBEMISOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAJIDE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:301-979-0655
Mailing Address - Street 1:1121 EDENBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-7889
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1121 EDENBROOK DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-7889
Practice Address - Country:US
Practice Address - Phone:301-979-0655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty