Dominski, Mary K
Dominski, Mary K is an individual health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Dominski, Mary K can be contacted via phone (608) 260-2900.Contact Information
Primary practice address
700 S Park St
Madison WI 53715-1830
Phone: (608) 260-2900
Fax: (608) 260-3442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 26119-20 | Wisconsin |
Profile Details
| NPI number | 1407895428 |
|---|---|
| LBN Legal business name | Dominski, Mary K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Nov 10th, 2020 - about 5 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 | 1407895428 | NPPES |
| Wisconsin | MEDICAID | 1407895428 |
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