Dymarczyk, Dominika Maria
Dymarczyk, Dominika Maria is an sole proprietor health care provider with primary practice located at 2500 Milvia St , Berkeley CA 94704-2636. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dymarczyk, Dominika Maria can be contacted via phone (510) 410-3524.Contact Information
Primary practice address
2500 Milvia St
Berkeley CA 94704-2636
Phone: (510) 410-3524
Fax: (510) 506-7722
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | NM2636176 | California |
Profile Details
NPI number | 1437750874 |
---|---|
LBN Legal business name | Dymarczyk, Dominika Maria |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 3rd, 2020 |
Last updated | Apr 15th, 2022 - about 3 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 | 1437750874 | NPPES |
California | Other | 236176 | STATE MEDICAL LICENSE |
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