Dijkhuizen, Dominique
Dijkhuizen, Dominique is an sole proprietor health care provider with primary practice located at 101 Lanark Trl , Southern Pines NC 28387-7513. She recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as her primary health care specialty. Dijkhuizen, Dominique can be contacted via phone (719) 270-1722.Contact Information
Primary practice address
101 Lanark Trl
Southern Pines NC 28387-7513
Phone: (719) 270-1722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 1689148397 | Colorado |
Profile Details
| NPI number | 1689148397 |
|---|---|
| LBN Legal business name | Dijkhuizen, Dominique |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2019 |
| Last updated | Jun 6th, 2022 - about 2 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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