Domingo, Ernani S

Domingo, Ernani S is an individual health care provider with primary practice located at 33 Bay St , Manchester NH 03104. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Domingo, Ernani S can be contacted via phone (603) 624-1342.

Contact Information

Primary practice address
33 Bay St Manchester NH 03104
Phone: (603) 624-1342
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3143 New Hampshire

Profile Details

NPI number 1477668028
LBN Legal business name Domingo, Ernani S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477668028 NPPES
New Hampshire MEDICAID 30303367

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