Mcmahan, Domenique

Mcmahan, Domenique is an sole proprietor health care provider with primary practice located at 3012 Holben Ct , Lake Orion MI 48360-1671. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Mcmahan, Domenique can be contacted via phone (586) 854-9874.

Contact Information

Primary practice address
3012 Holben Ct Lake Orion MI 48360-1671
Phone: (586) 854-9874
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 5202008445 Michigan

Profile Details

NPI number 1801400734
LBN Legal business name Mcmahan, Domenique
Credentials COTAL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2020
Last updated Sep 11th, 2020 - about 5 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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