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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518447937 NPPES
New York MEDICAID 315847

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