Dominick, Mark
Dominick, Mark is an sole proprietor health care provider with primary practice located at 521 Lancaster Ave Moberly Building, Richmond KY 40475-3100. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Dominick, Mark can be contacted via phone (207) 272-6819.Contact Information
Primary practice address
521 Lancaster Ave Moberly Building
Richmond KY 40475-3100
Phone: (207) 272-6819
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Kentucky |
Profile Details
| NPI number | 1255731527 |
|---|---|
| LBN Legal business name | Dominick, Mark |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2014 |
| Last updated | Aug 24th, 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.
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