Martin, Dominique

Martin, Dominique is an individual health care provider with primary practice located at 49713 Gorman Post Rd , Gorman CA 93243-9701. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Martin, Dominique can be contacted via phone (661) 724-0001.

Contact Information

Primary practice address
49713 Gorman Post Rd Gorman CA 93243-9701
Phone: (661) 724-0001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1285340448
LBN Legal business name Martin, Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2023
Last updated Jan 30th, 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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