Dominik, Mark Stephen

Dominik, Mark Stephen is an individual health care provider with primary practice located at 2 N Washington St , New Bremen OH 45869-1113. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dominik, Mark Stephen can be contacted via phone (419) 629-2336.

Contact Information

Primary practice address
2 N Washington St New Bremen OH 45869-1113
Phone: (419) 629-2336
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03-11-4978 Ohio

Profile Details

NPI number 1720080757
LBN Legal business name Dominik, Mark Stephen
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 8th, 2007 - about 18 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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