Van Nielen, Dominic Lee

Van Nielen, Dominic Lee is an individual health care provider with primary practice located at 19200 N Kelsey St , Monroe WA 98272-1431. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Van Nielen, Dominic Lee can be contacted via phone (425) 339-2433.

Contact Information

Primary practice address
19200 N Kelsey St Monroe WA 98272-1431
Phone: (425) 339-2433
Fax: (425) 339-8237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D94626 Maryland
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X MD61002589 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD61002589 Washington

Profile Details

NPI number 1184990590
LBN Legal business name Van Nielen, Dominic Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2012
Last updated Aug 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184990590 NPPES
Washington MEDICAID 2249981
Washington Other 466835

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