Jamison-Williams, Dominique Lashanda

Jamison-Williams, Dominique Lashanda is an sole proprietor health care provider with primary practice located at 6400 Arthur St , Merrillville IN 46410-3123. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jamison-Williams, Dominique Lashanda can be contacted via phone (219) 981-8551.

Contact Information

Primary practice address
6400 Arthur St Merrillville IN 46410-3123
Phone: (219) 981-8551
Fax: (219) 980-0211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 31002428A Indiana

Profile Details

NPI number 1902021249
LBN Legal business name Jamison-Williams, Dominique Lashanda
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated May 14th, 2008 - 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 1902021249 NPPES
Indiana MEDICAID 200610120
Indiana MEDICAID 200708930

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