Domagalski, Jason Erek

Domagalski, Jason Erek is an individual health care provider with primary practice located at 555 E Tachevah Dr Ste 2E107 , Palm Springs CA 92262-5752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Domagalski, Jason Erek can be contacted via phone (760) 561-7373.

Contact Information

Primary practice address
555 E Tachevah Dr Ste 2E107 Palm Springs CA 92262-5752
Phone: (760) 561-7373
Fax: (760) 770-5893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24005 Nebraska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C129763 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 61149-20 Wisconsin

Profile Details

NPI number 1972647170
LBN Legal business name Domagalski, Jason Erek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Jun 16th, 2016 - about 9 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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