Dominski, Cheryl J.
Dominski, Cheryl J. is an individual health care provider with primary practice located at 4848 S 76Th St Suite 210, Greenfield WI 53220-4361. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Dominski, Cheryl J. can be contacted via phone (414) 282-7444.Contact Information
Primary practice address
4848 S 76Th St Suite 210
Greenfield WI 53220-4361
Phone: (414) 282-7444
Fax: (414) 282-8221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 43362 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 43362 | Wisconsin |
Profile Details
| NPI number | 1285627976 |
|---|---|
| LBN Legal business name | Dominski, Cheryl J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Dec 1st, 2021 - about 3 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 | 1285627976 | NPPES |
| Wisconsin | MEDICAID | 34192000 | |
| Wisconsin | Other | P00975440 |
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