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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 months 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 1093741969 NPPES
Kansas MEDICAID 200671820A
Kansas MEDICAID 30004194000001

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