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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1518905041 NPPES
North Carolina MEDICAID 891275U

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