Dominick, Tim D

Dominick, Tim D is an sole proprietor health care provider with primary practice located at 1400 Johnston Willis Dr Ste A , North Chesterfield VA 23235-4765. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Dominick, Tim D can be contacted via phone (804) 379-8088.

Contact Information

Primary practice address
1400 Johnston Willis Dr Ste A North Chesterfield VA 23235-4765
Phone: (804) 379-8088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2085 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110-006707 Virginia

Profile Details

NPI number 1033536354
LBN Legal business name Dominick, Tim D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2014
Last updated Jun 8th, 2020 - about 5 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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