Dominguez, Eric

Dominguez, Eric is an individual health care provider with primary practice located at 795 Middle St , Fall River MA 02721-1733. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Dominguez, Eric can be contacted via phone (508) 235-5258.

Contact Information

Primary practice address
795 Middle St Fall River MA 02721-1733
Phone: (508) 235-5258
Fax: (508) 375-5671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 224227 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 224227 Massachusetts

Profile Details

NPI number 1265427702
LBN Legal business name Dominguez, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated May 19th, 2008 - about 16 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 1265427702 NPPES
Massachusetts MEDICAID 00V560P98

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