Dedominici, Peter
Dedominici, Peter is an sole proprietor health care provider with primary practice located at 188 W Hebble Ave , Fairborn OH 45324-4960. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Dedominici, Peter can be contacted via phone (937) 754-5911.Contact Information
Primary practice address
188 W Hebble Ave
Fairborn OH 45324-4960
Phone: (937) 754-5911
Fax: (999) 999-9999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | S0029122 | Ohio |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1649923442 |
|---|---|
| LBN Legal business name | Dedominici, Peter |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2022 |
| Last updated | Feb 22nd, 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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