Dominick, Frank T
Dominick, Frank T is an sole proprietor health care provider with primary practice located at 435 River Ave , Williamsport PA 17701-3722. He recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as his primary health care specialty. Dominick, Frank T can be contacted via phone (877) 393-1414.Contact Information
Primary practice address
435 River Ave
Williamsport PA 17701-3722
Phone: (877) 393-1414
Fax: (570) 743-5215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1912247198 |
|---|---|
| LBN Legal business name | Dominick, Frank T |
| Credentials | Certified Psychologist (CP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2013 |
| Last updated | Feb 25th, 2013 - 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 | 1912247198 | NPPES |
| Pennsylvania | MEDICAID | 0018173000003 |
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