Shields, Dominique D
Shields, Dominique D is an sole proprietor health care provider with primary practice located at 1526 S Front St , Philadelphia PA 19147-5518. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Shields, Dominique D can be contacted via phone (215) 463-2000.Contact Information
Primary practice address
1526 S Front St
Philadelphia PA 19147-5518
Phone: (215) 463-2000
Fax: (215) 463-2200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Phlebotomy | 246RP1900X |
Profile Details
| NPI number | 1669706933 |
|---|---|
| LBN Legal business name | Shields, Dominique D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2009 |
| Last updated | Sep 19th, 2009 - about 15 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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