Dominguez, David Anthony
Dominguez, David Anthony is an individual health care provider with primary practice located at 814 Caroline Ave , Junction City KS 66441-5210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Dominguez, David Anthony can be contacted via phone (785) 762-5250.Contact Information
Primary practice address
814 Caroline Ave
Junction City KS 66441-5210
Phone: (785) 762-5250
Fax: (785) 762-2144
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 112063 | North Carolina |
Profile Details
NPI number | 1689772469 |
---|---|
LBN Legal business name | Dominguez, David Anthony |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Apr 6th, 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 | 1689772469 | NPPES |
North Carolina | MEDICAID | 6005013 |
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