Provider Demographics
NPI:1952575185
Name:DOSSIE, MARGARET A (MSBS PAC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:DOSSIE
Suffix:
Gender:F
Credentials:MSBS PAC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:A
Other - Last Name:FISCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSBS PAC
Mailing Address - Street 1:6855 LAKE CAROLINE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-8059
Mailing Address - Country:US
Mailing Address - Phone:804-335-7440
Mailing Address - Fax:
Practice Address - Street 1:7300 ASHLAKE PKWY
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-2827
Practice Address - Country:US
Practice Address - Phone:804-256-8282
Practice Address - Fax:804-256-8288
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110003541363A00000X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0236248Medicaid
OHPA31082Medicare PIN
OH0236248Medicaid