Domanchuk, Paul Michael
Domanchuk, Paul Michael is an sole proprietor health care provider with primary practice located at 616 H St , Eureka CA 95501-1026. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Domanchuk, Paul Michael can be contacted via phone (707) 443-1619.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 8073T | California |
Profile Details
| NPI number | 1548223571 |
|---|---|
| LBN Legal business name | Domanchuk, Paul Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Nov 21st, 2007 - about 17 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 | 1548223571 | NPPES |
| California | MEDICAID | SD0080730 |
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