Sulfaro, Domenic F.
Sulfaro, Domenic F. is an individual health care provider with primary practice located at 541 Main St Suite 103, South Weymouth MA 02190-1868. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Sulfaro, Domenic F. can be contacted via phone (781) 331-9600.Contact Information
Primary practice address
541 Main St Suite 103
South Weymouth MA 02190-1868
Phone: (781) 331-9600
Fax: (781) 335-1556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 16543 | Massachusetts |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 624 | Massachusetts |
Profile Details
| NPI number | 1336250356 |
|---|---|
| LBN Legal business name | Sulfaro, Domenic F. |
| Credentials | PT, DPT, LATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 26th, 2007 - about 18 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 | 1336250356 | NPPES |
| Massachusetts | Other | 626330 | HARVARD PILGRIM |
| Massachusetts | Other | 981075 | HARVARD PILGRIM |
| Massachusetts | Other | 328820 | HARVARD PILGRIM |
| Massachusetts | Other | 470490 | HARVARD PILGRIM |
| Massachusetts | MEDICAID | 0329720 | HARVARD PILGRIM |
| Massachusetts | Other | Y68210 | HARVARD PILGRIM |
| Massachusetts | Other | 64029 | HARVARD PILGRIM |
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