Dornaivil, Job

Dornaivil, Job is an individual health care provider with primary practice located at 6130 Tours Ct Apt 105 , Indianapolis IN 46220-4617. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Dornaivil, Job can be contacted via phone (302) 390-7772.

Contact Information

Primary practice address
6130 Tours Ct Apt 105 Indianapolis IN 46220-4617
Phone: (302) 390-7772
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 21-177 Wisconsin

Profile Details

NPI number 1679211601
LBN Legal business name Dornaivil, Job
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2022
Last updated May 20th, 2022 - about 2 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 1679211601 NPPES
Indiana MEDICAID 121114371299

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