Oldham, Dominique
Oldham, Dominique is an individual health care provider with primary practice located at 8950 Coachlight Dr , West Des Moines IA 50266-8778. 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. Oldham, Dominique can be contacted via phone (515) 375-2100.Contact Information
Primary practice address
8950 Coachlight Dr
West Des Moines IA 50266-8778
Phone: (515) 375-2100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 085075 | Iowa |
Profile Details
NPI number | 1821756636 |
---|---|
LBN Legal business name | Oldham, Dominique |
Credentials | OTA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2021 |
Last updated | Dec 13th, 2021 - about 3 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 | 1821756636 | NPPES |
Other | NONE | NONE |
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