Provider Demographics
NPI:1699951814
Name:MARC D DOLCE DPM
Entity type:Organization
Organization Name:MARC D DOLCE DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:D
Authorized Official - Last Name:DOLCE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:419-660-0099
Mailing Address - Street 1:1 E WILLARD AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-1155
Mailing Address - Country:US
Mailing Address - Phone:419-660-0099
Mailing Address - Fax:419-660-0098
Practice Address - Street 1:1 E WILLARD AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-1155
Practice Address - Country:US
Practice Address - Phone:419-660-0099
Practice Address - Fax:419-660-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-003148332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4435520001Medicare NSC