Martin-Mitchell, Dominique
Martin-Mitchell, Dominique is an sole proprietor health care provider with primary practice located at 17415 17Th Ave E , Spanaway WA 98387-5522. She recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as her primary health care specialty. Martin-Mitchell, Dominique can be contacted via phone (253) 536-3274.Contact Information
Primary practice address
17415 17Th Ave E
Spanaway WA 98387-5522
Phone: (253) 536-3274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | 00003270 | Washington |
Profile Details
| NPI number | 1346430006 |
|---|---|
| LBN Legal business name | Martin-Mitchell, Dominique |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Jul 30th, 2007 - about 17 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 | 1346430006 | NPPES |
| Washington | Other | 00003270 | INDUSTRIAL REHAB |
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