Domenick, Michele

Domenick, Michele is an individual health care provider with primary practice located at 500 Cadmus Ln Ste 205 , Easton MD 21601-4094. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Domenick, Michele can be contacted via phone (410) 822-4553.

Contact Information

Primary practice address
500 Cadmus Ln Ste 205 Easton MD 21601-4094
Phone: (410) 822-4553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C1-0006569 Delaware
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C1-0006569 Delaware
Allopathic & Osteopathic Physicians / Surgery 208600000X D92021 Maryland

Profile Details

NPI number 1720052400
LBN Legal business name Domenick, Michele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 20th, 2021 - 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.

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