Claiborne, Dominique

Claiborne, Dominique is an individual health care provider with primary practice located at 600 Holiday Plaza Dr Ste 170 , Matteson IL 60443-2236. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Claiborne, Dominique can be contacted via phone (708) 248-6305.

Contact Information

Primary practice address
600 Holiday Plaza Dr Ste 170 Matteson IL 60443-2236
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1578257218
LBN Legal business name Claiborne, Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2023
Last updated Jun 6th, 2023 - about 2 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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