Hurley, Dominic Vincent
Hurley, Dominic Vincent is an individual health care provider with primary practice located at 1301 W 12Th Ave Ste 207 , Emporia KS 66801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Hurley, Dominic Vincent can be contacted via phone (620) 342-4278.Contact Information
Primary practice address
1301 W 12Th Ave Ste 207
Emporia KS 66801
Phone: (620) 342-4278
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 27785 | Iowa |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 1974 | South Dakota |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 27785 | Iowa |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 1974 | South Dakota |
Profile Details
| NPI number | 1609872456 |
|---|---|
| LBN Legal business name | Hurley, Dominic Vincent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | May 14th, 2019 - about 7 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 | 1609872456 | NPPES |
| South Dakota | Other | 060057374 | RAILROAD MEDICARE |
| South Dakota | Other | 07224 | RAILROAD MEDICARE |
| South Dakota | MEDICAID | 1955518 | RAILROAD MEDICARE |
| South Dakota | Other | 19D71HU | RAILROAD MEDICARE |
| South Dakota | MEDICAID | 6001954 | RAILROAD MEDICARE |
| South Dakota | Other | 0006095 | RAILROAD MEDICARE |
| South Dakota | Other | 060063694 | RAILROAD MEDICARE |
| South Dakota | MEDICAID | 546090500 | RAILROAD MEDICARE |
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