Dominick, Gerald F

Dominick, Gerald F is an individual health care provider with primary practice located at 5544 Greenwich Rd Ste.200, Virginia Beach VA 23462-6563. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dominick, Gerald F can be contacted via phone (757) 466-0089.

Contact Information

Primary practice address
5544 Greenwich Rd Ste.200 Virginia Beach VA 23462-6563
Phone: (757) 466-0089
Fax: (757) 466-8017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA219354 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110000927 Virginia

Profile Details

NPI number 1861478216
LBN Legal business name Dominick, Gerald F
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Apr 19th, 2024 - about 5 months 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 1861478216 NPPES
Virginia Other 139178 BCBS
Virginia Other 10005129P BCBS
Virginia Other 10005129P BCBS
Virginia Other P00318486 BCBS
Virginia MEDICAID 1861478216 BCBS

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