Domenichini, David John
Domenichini, David John is an sole proprietor health care provider with primary practice located at 701 Cottage Grove Rd Ste B220 , Bloomfield CT 06002-3077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Domenichini, David John can be contacted via phone (860) 561-1007.Contact Information
Primary practice address
701 Cottage Grove Rd Ste B220
Bloomfield CT 06002-3077
Phone: (860) 561-1007
Fax: (860) 561-1222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 032306 | Connecticut |
Profile Details
| NPI number | 1225004922 |
|---|---|
| LBN Legal business name | Domenichini, David John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Oct 31st, 2022 - about 3 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 | 1225004922 | NPPES |
| Connecticut | MEDICAID | 001323063 |
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