Lao, Dominador Yti
Lao, Dominador Yti is an sole proprietor health care provider with primary practice located at Rt 10 Appalachain Hwy. East Pineville , Pineville WV 24874-1274. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lao, Dominador Yti can be contacted via phone (304) 732-9045.Contact Information
Primary practice address
Rt 10 Appalachain Hwy. East Pineville
Pineville WV 24874-1274
Phone: (304) 732-9045
Fax: (304) 732-9055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12700 | West Virginia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 12700 | West Virginia |
Profile Details
| NPI number | 1366550279 |
|---|---|
| LBN Legal business name | Lao, Dominador Yti |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Feb 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366550279 | NPPES |
| West Virginia | Other | 1220372 | CHA HEALTH |
| West Virginia | Other | 001720313 | CHA HEALTH |
| West Virginia | MEDICAID | 0128304001 | CHA HEALTH |
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