Provider Demographics
NPI:1710799481
Name:DORSKI, IRMA ENCARNACION
Entity type:Individual
Prefix:
First Name:IRMA
Middle Name:ENCARNACION
Last Name:DORSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 S MCKINLEY DR
Mailing Address - Street 2:
Mailing Address - City:PORT CLINTON
Mailing Address - State:OH
Mailing Address - Zip Code:43452-1652
Mailing Address - Country:US
Mailing Address - Phone:419-301-0225
Mailing Address - Fax:419-301-0226
Practice Address - Street 1:570 S MCKINLEY DR
Practice Address - Street 2:
Practice Address - City:PORT CLINTON
Practice Address - State:OH
Practice Address - Zip Code:43452-1652
Practice Address - Country:US
Practice Address - Phone:419-301-0225
Practice Address - Fax:419-301-0226
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator