Dean, Dominique

Dean, Dominique is an individual health care provider with primary practice located at 5151 N 9Th Ave , Pensacola FL 32504-8721. She recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as her primary health care specialty. Dean, Dominique can be contacted via phone (630) 689-1902.

Contact Information

Primary practice address
5151 N 9Th Ave Pensacola FL 32504-8721
Phone: (630) 689-1902
Fax: (630) 214-0017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X

Profile Details

NPI number 1609272566
LBN Legal business name Dean, Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2014
Last updated Nov 5th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609272566 NPPES
Florida MEDICAID 1922032424
Florida Other 1922032424

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