Kiomento, Dominic James

Kiomento, Dominic James is an individual health care provider with primary practice located at 8950 Professional Dr , Cadillac MI 49601-8599. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kiomento, Dominic James can be contacted via phone (231) 775-2493.

Contact Information

Primary practice address
8950 Professional Dr Cadillac MI 49601-8599
Phone: (231) 775-2493
Fax: (231) 775-2570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301086808 Michigan

Profile Details

NPI number 1871573667
LBN Legal business name Kiomento, Dominic James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Mar 21st, 2012 - about 13 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 1871573667 NPPES
Michigan Other 4798746 MOLINA BILLING NUMBER
Michigan Other 141754 MOLINA BILLING NUMBER
Michigan Other DK086808 MOLINA BILLING NUMBER
Michigan Other 080H310080 MOLINA BILLING NUMBER
Michigan MEDICAID 4798746 MOLINA BILLING NUMBER

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