Domingo, Minerva
Domingo, Minerva is an individual health care provider with primary practice located at 20 Research Pl , N Chelmsford MA 01863-2454. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Domingo, Minerva can be contacted via phone (978) 788-7307.Contact Information
Primary practice address
20 Research Pl
N Chelmsford MA 01863-2454
Phone: (978) 788-7307
Fax: (978) 788-7890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 157601 | Massachusetts |
Profile Details
| NPI number | 1639170210 |
|---|---|
| LBN Legal business name | Domingo, Minerva |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Nov 10th, 2020 - about 5 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 | 1639170210 | NPPES |
| Massachusetts | Other | 1639170210 | FALLON |
| Massachusetts | MEDICAID | 3189198 | FALLON |
| Massachusetts | Other | 1639170210 | FALLON |
| Massachusetts | Other | 1639170210 | FALLON |
| Massachusetts | Other | 157601 | FALLON |
| Massachusetts | Other | 1639170210 | FALLON |
| Massachusetts | Other | 1639170210 | FALLON |
| Massachusetts | Other | 1639170210 | FALLON |
| Massachusetts | Other | 1639170210 | FALLON |
| Massachusetts | Other | 37371 | FALLON |
| Massachusetts | Other | J19862 | FALLON |
| Massachusetts | Other | 1639170210 | FALLON |
| Massachusetts | Other | 45016 | FALLON |
| Massachusetts | Other | 136878 | FALLON |
| Massachusetts | Other | 131062 | FALLON |
| Massachusetts | Other | 157601 | FALLON |
| Massachusetts | Other | 1639170210 | FALLON |
| Massachusetts | Other | 2636907 | FALLON |
| Massachusetts | Other | 0025776 | FALLON |
| Massachusetts | Other | 1639170210 | FALLON |
| Massachusetts | Other | 981061 | FALLON |
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