Tadiesse Domguia, Elie
Tadiesse Domguia, Elie is an sole proprietor health care provider with primary practice located at 1428 S 88Th St , West Allis WI 53214-4303. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Tadiesse Domguia, Elie can be contacted via phone (414) 379-1079.Contact Information
Primary practice address
1428 S 88Th St
West Allis WI 53214-4303
Phone: (414) 379-1079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X |
Profile Details
| NPI number | 1386347474 |
|---|---|
| LBN Legal business name | Tadiesse Domguia, Elie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2023 |
| Last updated | Mar 27th, 2023 - about last year |
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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