Dominitz, Illy
Dominitz, Illy is an individual health care provider with primary practice located at 1468 Ingram St , Norfolk VA 23551-2596. She recently has only one registered license in Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, which is considered as her primary health care specialty. Dominitz, Illy can be contacted via phone (757) 836-1685.Contact Information
Primary practice address
1468 Ingram St
Norfolk VA 23551-2596
Phone: (757) 836-1685
Fax: (757) 836-1528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 0101228195 | Virginia |
Profile Details
| NPI number | 1649317553 |
|---|---|
| LBN Legal business name | Dominitz, Illy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| 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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