Mckinley, Dominic W
Mckinley, Dominic W is an individual health care provider with primary practice located at 1915 Lendew St , Greensboro NC 27408-7033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mckinley, Dominic W can be contacted via phone (336) 275-3325.Contact Information
Primary practice address
1915 Lendew St
Greensboro NC 27408-7033
Phone: (336) 275-3325
Fax: (336) 275-5346
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 9801388 | North Carolina |
Profile Details
NPI number | 1518905041 |
---|---|
LBN Legal business name | Mckinley, Dominic W |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 4th, 2006 |
Last updated | May 26th, 2015 - about 9 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 | 1518905041 | NPPES |
North Carolina | MEDICAID | 891275U |
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