Crain, Dominique M
Crain, Dominique M is an individual health care provider with primary practice located at 20375 W 151St St 451, Olathe KS 66061-5306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Crain, Dominique M can be contacted via phone (913) 829-0446.Contact Information
Primary practice address
20375 W 151St St 451
Olathe KS 66061-5306
Phone: (913) 829-0446
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 04-33476 | Kansas |
Profile Details
| NPI number | 1093741969 |
|---|---|
| LBN Legal business name | Crain, Dominique M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Mar 25th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093741969 | NPPES |
| Kansas | MEDICAID | 200671820A | |
| Kansas | MEDICAID | 30004194000001 |
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