Bermudez, Domenic

Bermudez, Domenic is an individual health care provider with primary practice located at 7921 Jessies Way , Hamilton OH 45011-8077. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Bermudez, Domenic can be contacted via phone (513) 844-1111.

Contact Information

Primary practice address
7921 Jessies Way Hamilton OH 45011-8077
Phone: (513) 844-1111
Fax: (513) 844-6334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X APP-000112838 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50.005193RX Ohio
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50.005193RX Ohio

Profile Details

NPI number 1215454194
LBN Legal business name Bermudez, Domenic
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2017
Last updated Mar 4th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215454194 NPPES
Ohio MEDICAID 0243891
Ohio MEDICAID 0270942

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