Domino, Thomas Alan
Domino, Thomas Alan is an individual health care provider with primary practice located at 1101 Ohio Dr Ste 110 , Plano TX 75093-5331. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Domino, Thomas Alan can be contacted via phone (972) 985-2622.Contact Information
Primary practice address
1101 Ohio Dr Ste 110
Plano TX 75093-5331
Phone: (972) 985-2622
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 1108686 | Texas |
Profile Details
NPI number | 1013019041 |
---|---|
LBN Legal business name | Domino, Thomas Alan |
Credentials | PT, SCS, CSCS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 1st, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013019041 | NPPES |
Other | 8T1156 | BCBS |
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