Debrown, Dominique Michelle
Debrown, Dominique Michelle is an sole proprietor health care provider with primary practice located at 105 Lyon St Fl 2 , Paterson NJ 07524-1933. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Debrown, Dominique Michelle can be contacted via phone (347) 722-4124.Contact Information
Primary practice address
105 Lyon St Fl 2
Paterson NJ 07524-1933
Phone: (347) 722-4124
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 315847 | New York |
Profile Details
NPI number | 1518447937 |
---|---|
LBN Legal business name | Debrown, Dominique Michelle |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 15th, 2018 |
Last updated | Aug 15th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518447937 | NPPES |
New York | MEDICAID | 315847 |
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