Domenick Pllc

LBN: Domenick Pllc
Domenick Pllc is an health care organization with primary practice located at 4085 S Center Rd , Burton MI 48519-1957. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Domenick Pllc can be contacted via phone (810) 744-4251, or through Domenick, Wayne E via phone (810) 744-4251.

Contact Information

Primary practice address
4085 S Center Rd Burton MI 48519-1957
Fax: (810) 744-1039
Website:
Authorized official contact:
Name: Domenick, Wayne E Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301008818 Michigan

Profile Details

NPI number 1780724070
LBN Legal business name Domenick Pllc
DBA Doing business as
Authorized official Domenick, Wayne E Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Aug 7th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780724070 NPPES
Michigan Other 950B514920 BCBSM
Michigan Other 950B518000 BCBSM

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