Dominguez, Anissa
Dominguez, Anissa is an sole proprietor health care provider with primary practice located at 100 N Park Rd Apt 1263 , Wyomissing PA 19610-3058. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Dominguez, Anissa can be contacted via phone (410) 693-7747.Contact Information
Primary practice address
100 N Park Rd Apt 1263
Wyomissing PA 19610-3058
Phone: (410) 693-7747
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1013406149 |
|---|---|
| LBN Legal business name | Dominguez, Anissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2018 |
| Last updated | May 3rd, 2018 - about 6 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 | 1013406149 | NPPES |
| Other | A00122095 | USAA |
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