Elliott, Catherine Domanska
Elliott, Catherine Domanska is an individual health care provider with primary practice located at 105 Vineyard Way Ste 200 , West Grove PA 19390. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Elliott, Catherine Domanska can be contacted via phone (610) 444-7550.Contact Information
Primary practice address
105 Vineyard Way Ste 200
West Grove PA 19390
Phone: (610) 444-7550
Fax: (610) 444-4656
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP012517 | Pennsylvania |
Profile Details
NPI number | 1275877615 |
---|---|
LBN Legal business name | Elliott, Catherine Domanska |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 26th, 2012 |
Last updated | Aug 22nd, 2018 - about 6 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 | 1275877615 | NPPES |
Pennsylvania | MEDICAID | 102783059 |
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