Dominique, Sarah E
Dominique, Sarah E is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dominique, Sarah E can be contacted via phone (309) 624-2480.Contact Information
Primary practice address
530 Ne Glen Oak Ave
Peoria IL 61637-0001
Phone: (309) 624-2480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 364SP0200X | 209010901 | Illinois |
Profile Details
| NPI number | 1114348620 |
|---|---|
| LBN Legal business name | Dominique, Sarah E |
| Credentials | APN CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2013 |
| Last updated | Dec 21st, 2017 - about 7 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.
Popular Providers
-
Zimmerman, Amy
507 E Armstrong Ave , Peoria IL 61603-3201 -
Carr, Maureen P
10 Centennial Dr , Peabody MA 01960 -
Malloy, Priscilla B
282 Washington St , Hartford CT 06106-3322 -
Shane-Gray, Suzan Cathleen
530 Ne Glen Oak Ave Pob 113, Peoria IL 61637-0001 -
Ford, Jenna
200 E Pennsylvania Ave , Peoria IL 61603-3089 -
Jarvi, Jeffrey F
2478 13Th St Se , Salem OR 97302-2546 -
Papis, Kristine Michelle
320 E Armstrong Ave , Peoria IL 61603-3172 -
Hoskinson, Tresa
2101 N Waldron St , Hutchinson KS 67502-1131