Dominey, Andrea Mead
Dominey, Andrea Mead is an individual health care provider with primary practice located at 1807 N Hutchinson Rd , Spokane Valley WA 99212-2444. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Dominey, Andrea Mead can be contacted via phone (509) 456-7414.Contact Information
Primary practice address
1807 N Hutchinson Rd
Spokane Valley WA 99212-2444
Phone: (509) 456-7414
Fax: (509) 624-0763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M-8263 | Idaho |
Profile Details
| NPI number | 1215023007 |
|---|---|
| LBN Legal business name | Dominey, Andrea Mead |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 31st, 2008 - about 17 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 | 1215023007 | NPPES |
| Idaho | MEDICAID | 003663100 | |
| Idaho | MEDICAID | 8159071 |
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