Domingo Musibay, Evidio
Domingo Musibay, Evidio is an individual health care provider with primary practice located at 800 E 28Th St Ste 401 , Minneapolis MN 55407-3723. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Domingo Musibay, Evidio can be contacted via phone (612) 863-0200.Contact Information
Primary practice address
800 E 28Th St Ste 401
Minneapolis MN 55407-3723
Phone: (612) 863-0200
Fax: (612) 863-0235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52977 | Minnesota |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 52977 | Minnesota |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 52977 | Minnesota |
Profile Details
| NPI number | 1831321785 |
|---|---|
| LBN Legal business name | Domingo Musibay, Evidio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2009 |
| Last updated | Jun 25th, 2024 - about last year |
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 | 1831321785 | NPPES |
| Iowa | MEDICAID | ENROLLED | |
| Iowa | Other | P01075996 | |
| Iowa | MEDICAID | ENROLLED |
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