Johnson, Domonique

Johnson, Domonique is an individual health care provider with primary practice located at 1848 Commonwealth Ave Apt 54 , Brighton MA 02135-6006. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Johnson, Domonique can be contacted via phone (323) 447-0088.

Contact Information

Primary practice address
1848 Commonwealth Ave Apt 54 Brighton MA 02135-6006
Phone: (323) 447-0088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1336422526
LBN Legal business name Johnson, Domonique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2011
Last updated Sep 23rd, 2011 - about 14 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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