Idoko, Dominic
Idoko, Dominic is an individual health care provider with primary practice located at 100 South St , Southbridge MA 01550-4051. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Idoko, Dominic can be contacted via phone (508) 765-9771.Contact Information
Primary practice address
100 South St
Southbridge MA 01550-4051
Phone: (508) 765-9771
Fax: (508) 765-3147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1023131083 |
|---|---|
| LBN Legal business name | Idoko, Dominic |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Jul 8th, 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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