King, Dominic M

King, Dominic M is an individual health care provider with primary practice located at 7010 Engle Rd , Cleveland OH 44130-8401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. King, Dominic M can be contacted via phone (440) 260-3731.

Contact Information

Primary practice address
7010 Engle Rd Cleveland OH 44130-8401
Phone: (440) 260-3731
Fax: (440) 239-0979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 58.004005 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 3401178 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 3401178 Ohio

Profile Details

NPI number 1780983437
LBN Legal business name King, Dominic M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2011
Last updated Mar 7th, 2023 - about last year

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 1780983437 NPPES
Ohio MEDICAID 0133672

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