Dominguez, Yuri
Dominguez, Yuri is an individual health care provider with primary practice located at 99 E River Dr 5Th Floor, East Hartford CT 06108-3288. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Dominguez, Yuri can be contacted via phone (860) 282-4022.Contact Information
Primary practice address
99 E River Dr 5Th Floor
East Hartford CT 06108-3288
Phone: (860) 282-4022
Fax: (860) 289-0746
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 001022 | Connecticut |
Profile Details
NPI number | 1528027000 |
---|---|
LBN Legal business name | Dominguez, Yuri |
Credentials | APRN, CRNA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2006 |
Last updated | May 6th, 2014 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528027000 | NPPES |
Connecticut | MEDICAID | 004209426 |
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