Domingue, Cal Anthony

Domingue, Cal Anthony is an individual health care provider with primary practice located at 5000 Ambassador Caffery Pkwy Bldg 14A , Lafayette LA 70508-6984. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Domingue, Cal Anthony can be contacted via phone (337) 470-3580.

Contact Information

Primary practice address
5000 Ambassador Caffery Pkwy Bldg 14A Lafayette LA 70508-6984
Phone: (337) 470-3580
Fax: (337) 470-3586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X A10610 Louisiana

Profile Details

NPI number 1437134707
LBN Legal business name Domingue, Cal Anthony
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Dec 31st, 2015 - about 9 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 1437134707 NPPES
Louisiana MEDICAID 1624861
Louisiana Other P00220721

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