Moore, Dominique T

Moore, Dominique T is an individual health care provider with primary practice located at 11155 Dolfield Blvd Ste 110 , Owings Mills MD 21117-3289. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Moore, Dominique T can be contacted via phone (410) 517-2624.

Contact Information

Primary practice address
11155 Dolfield Blvd Ste 110 Owings Mills MD 21117-3289
Phone: (410) 517-2624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X 20-0302Y20 Maryland

Profile Details

NPI number 1518570142
LBN Legal business name Moore, Dominique T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2020
Last updated Aug 24th, 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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