Domini, Leslie Joseph
Domini, Leslie Joseph is an individual health care provider with primary practice located at 702 Commerce Dr Ste 160, Perrysburg OH 43551-5271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Domini, Leslie Joseph can be contacted via phone (419) 872-7600.Contact Information
Primary practice address
702 Commerce Dr Ste 160
Perrysburg OH 43551-5271
Phone: (419) 872-7600
Fax: (419) 872-7601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-036629 | Ohio |
Profile Details
| NPI number | 1104822998 |
|---|---|
| LBN Legal business name | Domini, Leslie Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2005 |
| Last updated | Feb 15th, 2013 - about 12 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 | 1104822998 | NPPES |
| Ohio | MEDICAID | 0226731 |
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