Knudsen, Domenica M
Knudsen, Domenica M is an sole proprietor health care provider with primary practice located at 280 N Providence Rd , Media PA 19063-3527. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Knudsen, Domenica M can be contacted via phone (610) 565-6843.Contact Information
Primary practice address
280 N Providence Rd
Media PA 19063-3527
Phone: (610) 565-6843
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS008547L | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | B1-0000679 | Delaware |
Profile Details
| NPI number | 1336109230 |
|---|---|
| LBN Legal business name | Knudsen, Domenica M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jun 7th, 2011 - 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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