Dominguez, Mark Jason
Dominguez, Mark Jason is an individual health care provider with primary practice located at 606 W 11Th Ave , Covington LA 70433-3630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dominguez, Mark Jason can be contacted via phone (985) 892-3766.Contact Information
Primary practice address
606 W 11Th Ave
Covington LA 70433-3630
Phone: (985) 892-3766
Fax: (985) 893-9567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 200251 | Louisiana |
Profile Details
| NPI number | 1043428170 |
|---|---|
| LBN Legal business name | Dominguez, Mark Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Mar 16th, 2016 - about 8 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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