Domin, Wayne D
Domin, Wayne D is an individual health care provider with primary practice located at 96 High Street , Laconia NH 03246-3537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Domin, Wayne D can be contacted via phone (603) 524-9197.Contact Information
Primary practice address
96 High Street
Laconia NH 03246-3537
Phone: (603) 524-9197
Fax: (603) 524-9142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 6193 | New Hampshire |
Profile Details
| NPI number | 1568427912 |
|---|---|
| LBN Legal business name | Domin, Wayne D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Sep 1st, 2011 - about 13 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 | 1568427912 | NPPES |
| Other | 020346032 | TAX ID | |
| Other | 0105602YONH01 | TAX ID | |
| MEDICAID | 00000575 | TAX ID | |
| MEDICAID | 81166895 | TAX ID |
Popular Providers
-
Enck, Richard C
96 High Street , Laconia NH 03246-3537 -
Mader, Michael H
1836 South Ave , La Crosse WI 54601-5429 -
Mccarville, John L
525 Branson Landing Blvd Ste 408 , Branson MO 65616-2192 -
Pott-Grinstein, Elisabeth A
734 North Main Street , Laconia NH 03246-2777 -
Buck, Ana Estela Panduro
734 N Main St , Laconia NH 03246-2777 -
Harris, Micah Stephen
7342 E Thomas Rd Ste 105 , Scottsdale AZ 85251-7243 -
Tovell, William M
724 N Main St , Laconia NH 03246-2742 -
Lopez, Lorenzo
722 Medical Center Dr E Ste 101 , Clovis CA 93611-6810