Ansari, Dominic Omar

Ansari, Dominic Omar is an individual health care provider with primary practice located at 800 E Washington Blvd , Crescent City CA 95531-8359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ansari, Dominic Omar can be contacted via phone (707) 464-8511.

Contact Information

Primary practice address
800 E Washington Blvd Crescent City CA 95531-8359
Phone: (707) 464-8511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 285015 New York

Profile Details

NPI number 1366737942
LBN Legal business name Ansari, Dominic Omar
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2011
Last updated May 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers