Domoto, Douglass Takashi
Domoto, Douglass Takashi is an sole proprietor health care provider with primary practice located at 2606 Clark Ave , Saint Louis MO 63103-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Domoto, Douglass Takashi can be contacted via phone (314) 535-3720.Contact Information
Primary practice address
2606 Clark Ave
Saint Louis MO 63103-2502
Phone: (314) 535-3720
Fax: (324) 525-7391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | R6C21 | Missouri |
Profile Details
| NPI number | 1588764724 |
|---|---|
| LBN Legal business name | Domoto, Douglass Takashi |
| Credentials | M.D., J.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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