Smith, Dominique Marielle
Smith, Dominique Marielle is an sole proprietor health care provider with primary practice located at 30550 Stephenson Hwy , Madison Heights MI 48071-1611. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Smith, Dominique Marielle can be contacted via phone (248) 837-6298.Contact Information
Primary practice address
30550 Stephenson Hwy
Madison Heights MI 48071-1611
Phone: (248) 837-6298
Fax: (248) 837-6299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 3501004958 | Michigan |
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 3501004948 | Michigan |
Profile Details
| NPI number | 1750794798 |
|---|---|
| LBN Legal business name | Smith, Dominique Marielle |
| Credentials | BA-HIS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2014 |
| Last updated | Dec 13th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750794798 | NPPES |
| Michigan | MEDICAID | 15013663 |
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