Tan, Domingo C

Tan, Domingo C is an individual health care provider with primary practice located at 736 Battlefield Blvd N , Chesapeake VA 23320-4941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tan, Domingo C can be contacted via phone (757) 312-6124.

Contact Information

Primary practice address
736 Battlefield Blvd N Chesapeake VA 23320-4941
Phone: (757) 312-6124
Fax: (757) 312-6195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101023086 Virginia

Profile Details

NPI number 1235147869
LBN Legal business name Tan, Domingo C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 23rd, 2018 - about 7 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 1235147869 NPPES
Virginia MEDICAID 007256850

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