Domon, Steven Eugene

Domon, Steven Eugene is an individual health care provider with primary practice located at 4313 W Markham St , Little Rock AR 72205-4023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Domon, Steven Eugene can be contacted via phone (501) 686-9406.

Contact Information

Primary practice address
4313 W Markham St Little Rock AR 72205-4023
Phone: (501) 686-9406
Fax: (501) 686-9276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5L234 Arkansas

Profile Details

NPI number 1740268390
LBN Legal business name Domon, Steven Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Sep 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740268390 NPPES
Arkansas Other E2098 TRICARE
Arkansas Other 18657000010 TRICARE

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