Domers, Theresa
Domers, Theresa is an sole proprietor health care provider with primary practice located at 172 W Woodglen Rd , Spartanburg SC 29301-5305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Domers, Theresa can be contacted via phone (864) 278-8542.Contact Information
Primary practice address
172 W Woodglen Rd
Spartanburg SC 29301-5305
Phone: (864) 278-8542
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 22953 | South Carolina |
Profile Details
| NPI number | 1831160191 |
|---|---|
| LBN Legal business name | Domers, Theresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Feb 23rd, 2014 - about 10 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 | 1831160191 | NPPES |
| South Carolina | Other | 20051869 | SELECT HEALTH |
| South Carolina | Other | 189204 | SELECT HEALTH |
| South Carolina | MEDICAID | 229531 | SELECT HEALTH |
| South Carolina | MEDICAID | 5902063 | SELECT HEALTH |
| South Carolina | Other | 5024654 | SELECT HEALTH |
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