Dominguez, Eduardo Jose

Dominguez, Eduardo Jose is an sole proprietor health care provider with primary practice located at 12011 Lee Jackson Memorial Hwy , Fairfax VA 22033. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Dominguez, Eduardo Jose can be contacted via phone (703) 349-1379.

Contact Information

Primary practice address
12011 Lee Jackson Memorial Hwy Fairfax VA 22033
Phone: (703) 349-1379
Fax: (214) 764-0880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 12-135 Wisconsin

Profile Details

NPI number 1982195939
LBN Legal business name Dominguez, Eduardo Jose
Credentials SA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2018
Last updated Mar 1st, 2019 - 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.

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