Breeze, Dominique Renee

Breeze, Dominique Renee is an sole proprietor health care provider with primary practice located at 298 Circle Dr , Ripley OH 45167-1326. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Breeze, Dominique Renee can be contacted via phone (937) 213-0556.

Contact Information

Primary practice address
298 Circle Dr Ripley OH 45167-1326
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1144816372
LBN Legal business name Breeze, Dominique Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2020
Last updated Dec 11th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144816372 NPPES
Ohio MEDICAID 0066666

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