Domitor, Paul J
Domitor, Paul J is an individual health care provider with primary practice located at 105 W 8Th Ave Suite 332C, Spokane WA 99204-2302. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Domitor, Paul J can be contacted via phone (509) 838-7400.Contact Information
Primary practice address
105 W 8Th Ave Suite 332C
Spokane WA 99204-2302
Phone: (509) 838-7400
Fax: (509) 838-6827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY00000667 | Washington |
Profile Details
| NPI number | 1861486342 |
|---|---|
| LBN Legal business name | Domitor, Paul J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Jul 9th, 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 | 1861486342 | NPPES |
| Washington | MEDICAID | 0200098 |
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