Domnine, Mikhail V
Domnine, Mikhail V is an individual health care provider with primary practice located at 1099 Ohio River Blvd , Sewickley PA 15143-2056. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Domnine, Mikhail V can be contacted via phone (412) 741-5670.Contact Information
Primary practice address
1099 Ohio River Blvd
Sewickley PA 15143-2056
Phone: (412) 741-5670
Fax: (412) 741-8041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA052604 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001001114 | North Carolina |
Profile Details
| NPI number | 1659453454 |
|---|---|
| LBN Legal business name | Domnine, Mikhail V |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Dec 3rd, 2013 - about 11 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 | 1659453454 | NPPES |
| North Carolina | Other | 2687 | EVOLUTIONS HEALTHCARE SYSTEMS |
| North Carolina | Other | 164XJ | EVOLUTIONS HEALTHCARE SYSTEMS |
| North Carolina | Other | 7790899 | EVOLUTIONS HEALTHCARE SYSTEMS |
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