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
Phone: (215) 481-3926
Fax: (215) 481-4126
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417945056 | NPPES |
Pennsylvania | MEDICAID | 0016175980002 |
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