Santo Domingo, Noel E

Santo Domingo, Noel E is an individual health care provider with primary practice located at 719 Southpoint Blvd Ste B, Petaluma CA 94954-1495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Santo Domingo, Noel E can be contacted via phone (707) 778-8421.

Contact Information

Primary practice address
719 Southpoint Blvd Ste B Petaluma CA 94954-1495
Fax: (707) 778-1702
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G79253 California

Profile Details

NPI number 1992797435
LBN Legal business name Santo Domingo, Noel E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Nov 10th, 2021 - about 4 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 1992797435 NPPES
California Other P01719259 RAILROAD MEDICARE
California Other P00977322 RAILROAD MEDICARE

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