Domby, Jerry

Domby, Jerry is an individual health care provider with primary practice located at 3101 Lee Hwy Ste 6 , Bristol VA 24202-5958. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Domby, Jerry can be contacted via phone (276) 645-0823.

Contact Information

Primary practice address
3101 Lee Hwy Ste 6 Bristol VA 24202-5958
Phone: (276) 645-0823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 2101002200 Virginia

Profile Details

NPI number 1912529132
LBN Legal business name Domby, Jerry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2020
Last updated May 11th, 2020 - about 5 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 1912529132 NPPES
Virginia Other 2101002200 VIRGINIA DPOR

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