Domme, Sylvester A
Domme, Sylvester A is an individual health care provider with primary practice located at 707 N Emporia St , Wichita KS 67214-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Domme, Sylvester A can be contacted via phone (316) 858-3460.Contact Information
Primary practice address
707 N Emporia St
Wichita KS 67214-3707
Phone: (316) 858-3460
Fax: (316) 858-3458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0418234 | Kansas |
Profile Details
| NPI number | 1972508018 |
|---|---|
| LBN Legal business name | Domme, Sylvester A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Mar 2nd, 2017 - about 7 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 | 1972508018 | NPPES |
| Kansas | MEDICAID | 100137850C |
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