Domke, Mark Kenneth

Domke, Mark Kenneth is an sole proprietor health care provider with primary practice located at 765 Sereno Dr , Vallejo CA 94589-2415. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist, which is considered as his primary health care specialty. Domke, Mark Kenneth can be contacted via phone (707) 208-2081.

Contact Information

Primary practice address
765 Sereno Dr Vallejo CA 94589-2415
Phone: (707) 208-2081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist 226300000X

Profile Details

NPI number 1396967600
LBN Legal business name Domke, Mark Kenneth
Credentials RKT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
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.

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