Bretana, Domeciano

Bretana, Domeciano is an sole proprietor health care provider with primary practice located at 5980 W 71St St Ste 102 , Indianapolis IN 46278-2711. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Bretana, Domeciano can be contacted via phone (317) 388-0800.

Contact Information

Primary practice address
5980 W 71St St Ste 102 Indianapolis IN 46278-2711
Fax: (317) 388-0805
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 05009464A Indiana

Profile Details

NPI number 1376726265
LBN Legal business name Bretana, Domeciano
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2007
Last updated Dec 13th, 2007 - about 18 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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