Domashevich, Vitaliy
Domashevich, Vitaliy is an individual health care provider with primary practice located at 14100 E Arapahoe Rd Suite B110, Centennial CO 80112-4028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Domashevich, Vitaliy can be contacted via phone (720) 870-7446.Contact Information
Primary practice address
14100 E Arapahoe Rd Suite B110
Centennial CO 80112-4028
Phone: (720) 870-7446
Fax: (720) 870-7460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD28222 | Maine |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 41756 | Colorado |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 041756 | Colorado |
Profile Details
| NPI number | 1235165440 |
|---|---|
| LBN Legal business name | Domashevich, Vitaliy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | May 3rd, 2024 - about 7 months 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 | 1235165440 | NPPES |
| Colorado | MEDICAID | 0971244 | |
| Colorado | MEDICAID | 1235165400 |
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