Dominguez, Ivan
Dominguez, Ivan is an sole proprietor health care provider with primary practice located at 824 Mount Ranier Way , El Dorado Hills CA 95762-4449. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Dominguez, Ivan can be contacted via phone (818) 519-3699.Contact Information
Primary practice address
824 Mount Ranier Way
El Dorado Hills CA 95762-4449
Phone: (818) 519-3699
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | D5281191 | California |
Profile Details
| NPI number | 1629814116 |
|---|---|
| LBN Legal business name | Dominguez, Ivan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2024 |
| Last updated | Jul 12th, 2024 - about 5 months 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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