Bristol, Dominic Richard

Bristol, Dominic Richard is an sole proprietor health care provider with primary practice located at 7473 W Lake Mead Blvd Ste 111 , Las Vegas NV 89128-0265. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Bristol, Dominic Richard can be contacted via phone (702) 562-1288.

Contact Information

Primary practice address
7473 W Lake Mead Blvd Ste 111 Las Vegas NV 89128-0265
Phone: (702) 562-1288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1750977146
LBN Legal business name Bristol, Dominic Richard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2020
Last updated Dec 19th, 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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