Sokalski, Dominik Grzegorz

Sokalski, Dominik Grzegorz is an individual health care provider with primary practice located at 1365 Poplar Dr , Medford OR 97504-5207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Sokalski, Dominik Grzegorz can be contacted via phone (541) 773-2233.

Contact Information

Primary practice address
1365 Poplar Dr Medford OR 97504-5207
Fax: (541) 773-7089
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD153128 Oregon
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 56254 Colorado

Profile Details

NPI number 1104016278
LBN Legal business name Sokalski, Dominik Grzegorz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Feb 11th, 2019 - about 6 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 1104016278 NPPES
Oregon Other R194430 MEDICARE OR
Oregon MEDICAID 500722930 MEDICARE OR
Oregon Other MD153128 MEDICARE OR
Oregon Other 478052ZL1P MEDICARE OR
Oregon Other DR.0056254 MEDICARE OR

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