Moreno, Dominic L

Moreno, Dominic L is an individual health care provider with primary practice located at 128 Uca Prince Ctr 201 Donaghey, Conway AR 72035-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Moreno, Dominic L can be contacted via phone (501) 852-7748.

Contact Information

Primary practice address
128 Uca Prince Ctr 201 Donaghey Conway AR 72035-0001
Phone: (501) 852-7748
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT 386 Arkansas

Profile Details

NPI number 1639227929
LBN Legal business name Moreno, Dominic L
Credentials MED, ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 2007 - about 18 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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