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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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 1346430006 NPPES
Washington Other 00003270 INDUSTRIAL REHAB

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