Dornic, Demetrian Ivan

Dornic, Demetrian Ivan is an sole proprietor health care provider with primary practice located at 3701 Nw Cary Pkwy Suite 101, Cary NC 27513-8431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dornic, Demetrian Ivan can be contacted via phone (919) 467-9955.

Contact Information

Primary practice address
3701 Nw Cary Pkwy Suite 101 Cary NC 27513-8431
Fax: (919) 467-2544
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9800513 North Carolina

Profile Details

NPI number 1881740090
LBN Legal business name Dornic, Demetrian Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2007
Last updated Jul 9th, 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 1881740090 NPPES
North Carolina MEDICAID 891183H
North Carolina MEDICAID 89128E2

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