Ward, Domenique Dicello
Ward, Domenique Dicello is an individual health care provider with primary practice located at 1200 Brooks Ln Ste 170 , Jefferson Hills PA 15025-3759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Ward, Domenique Dicello can be contacted via phone (412) 469-7110.Contact Information
Primary practice address
1200 Brooks Ln Ste 170
Jefferson Hills PA 15025-3759
Phone: (412) 469-7110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MA059553 | Pennsylvania |
Profile Details
| NPI number | 1548772460 |
|---|---|
| LBN Legal business name | Ward, Domenique Dicello |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2017 |
| Last updated | May 11th, 2022 - about 3 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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