Domeracki, Frank R

Domeracki, Frank R is an individual health care provider with primary practice located at 1200 Old York Rd , Abington PA 19001-3720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Domeracki, Frank R can be contacted via phone (215) 481-3926.

Contact Information

Primary practice address
1200 Old York Rd Abington PA 19001-3720
Fax: (215) 481-4126
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD042173E Pennsylvania

Profile Details

NPI number 1417945056
LBN Legal business name Domeracki, Frank R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jun 3rd, 2016 - about 8 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 1417945056 NPPES
Pennsylvania MEDICAID 0016175980002

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