Dominguez, William F.

Dominguez, William F. is an individual health care provider with primary practice located at 1100 Central Ave Se , Albuquerque NM 87106-4930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dominguez, William F. can be contacted via phone (505) 841-1234.

Contact Information

Primary practice address
1100 Central Ave Se Albuquerque NM 87106-4930
Fax: (505) 841-1956
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 93-39 New Mexico

Profile Details

NPI number 1972506640
LBN Legal business name Dominguez, William F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 9th, 2007 - about 17 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 1972506640 NPPES
New Mexico MEDICAID 14580
New Mexico MEDICAID 340620
New Mexico MEDICAID 07355
New Mexico Other NM009C60
New Mexico MEDICAID 30404053

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