Domaoal, Antonio Maravillas
Domaoal, Antonio Maravillas is an individual health care provider with primary practice located at 2000 Eoff St , Wheeling WV 26003-3823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Domaoal, Antonio Maravillas can be contacted via phone (304) 234-0123.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35050242D | Ohio |
Profile Details
| NPI number | 1891883526 |
|---|---|
| LBN Legal business name | Domaoal, Antonio Maravillas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Feb 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891883526 | NPPES |
| Ohio | MEDICAID | 0354987 |
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