Domet, Michael Anthony
Domet, Michael Anthony is an individual health care provider with primary practice located at 40 N Grand Ave Suite 101, Fort Thomas KY 41075-4107. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Domet, Michael Anthony can be contacted via phone (859) 781-4900.Contact Information
Primary practice address
40 N Grand Ave Suite 101
Fort Thomas KY 41075-4107
Phone: (859) 781-4900
Fax: (859) 572-3044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 39335 | Kentucky |
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | 39335 | Kentucky |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 39335 | Kentucky |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 39335 | Kentucky |
Profile Details
| NPI number | 1134206881 |
|---|---|
| LBN Legal business name | Domet, Michael Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | May 1st, 2018 - about 7 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 | 1134206881 | NPPES |
| Kentucky | Other | 39335 | KY MEDICAL LICENSE |
| Kentucky | Other | 35086041 | KY MEDICAL LICENSE |
| Kentucky | MEDICAID | 701342 | KY MEDICAL LICENSE |
| Kentucky | Other | 7708656 | KY MEDICAL LICENSE |
| Kentucky | Other | 1001418 | KY MEDICAL LICENSE |
| Kentucky | MEDICAID | 2556541 | KY MEDICAL LICENSE |
| Kentucky | MEDICAID | 65917965 | KY MEDICAL LICENSE |
| Kentucky | MEDICAID | 100015770 | KY MEDICAL LICENSE |
| Kentucky | MEDICAID | 200512280 | KY MEDICAL LICENSE |
| Kentucky | MEDICAID | 64105901 | KY MEDICAL LICENSE |
| Kentucky | Other | 000000360827 | KY MEDICAL LICENSE |
| Kentucky | Other | 1060353 | KY MEDICAL LICENSE |
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