Domingo, Joselito B.

Domingo, Joselito B. is an sole proprietor health care provider with primary practice located at 59 Koch Ave , Morris Plains NJ 07950-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Domingo, Joselito B. can be contacted via phone (973) 538-1800.

Contact Information

Primary practice address
59 Koch Ave Morris Plains NJ 07950-4400
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA06012200 New Jersey

Profile Details

NPI number 1609936806
LBN Legal business name Domingo, Joselito B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Jan 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609936806 NPPES
New Jersey Other 887864C2E MEDICARE BILLING NO.

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