Domloj, Nervane Tarek

Domloj, Nervane Tarek is an sole proprietor health care provider with primary practice located at 7700 University Dr , West Chester OH 45069-2505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Domloj, Nervane Tarek can be contacted via phone (513) 585-5502.

Contact Information

Primary practice address
7700 University Dr West Chester OH 45069-2505
Phone: (513) 585-5502
Fax: (513) 585-5511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301081404 Michigan
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35.093999 Ohio

Profile Details

NPI number 1790761831
LBN Legal business name Domloj, Nervane Tarek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2005
Last updated May 30th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790761831 NPPES
Ohio MEDICAID 2988950
Ohio MEDICAID 201006520
Ohio MEDICAID 7100140720

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