Dombroski, Tina

Dombroski, Tina is an individual health care provider with primary practice located at 1309 Savannah Rd Suite B, Lewes DE 19958-1514. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dombroski, Tina can be contacted via phone (302) 645-6698.

Contact Information

Primary practice address
1309 Savannah Rd Suite B Lewes DE 19958-1514
Phone: (302) 645-6698
Fax: (302) 645-4505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C50000405 Delaware

Profile Details

NPI number 1578555207
LBN Legal business name Dombroski, Tina
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578555207 NPPES
Delaware MEDICAID 1000024043

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