Deangelo, Dominic John
Deangelo, Dominic John is an individual health care provider with primary practice located at 250 Debartolo Pl , Boardman OH 44512-7004. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Deangelo, Dominic John can be contacted via phone (300) 314-9100.Contact Information
Primary practice address
250 Debartolo Pl
Boardman OH 44512-7004
Phone: (300) 314-9100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 50.006010 | Ohio |
Profile Details
| NPI number | 1841847563 |
|---|---|
| LBN Legal business name | Deangelo, Dominic John |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2019 |
| Last updated | Jan 5th, 2020 - about 6 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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