Deslauriers, Dominick Edward
Deslauriers, Dominick Edward is an individual health care provider with primary practice located at 693 Bloomfield Ave 2Nd Floor, Bloomfield CT 06002-2489. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Deslauriers, Dominick Edward can be contacted via phone (860) 242-8427.Contact Information
Primary practice address
693 Bloomfield Ave 2Nd Floor
Bloomfield CT 06002-2489
Phone: (860) 242-8427
Fax: (860) 242-4147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | CT4979 | Connecticut |
Profile Details
| NPI number | 1649234816 |
|---|---|
| LBN Legal business name | Deslauriers, Dominick Edward |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Dec 20th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649234816 | NPPES |
| Connecticut | Other | 080004979CT04 | ANTHEM BC/BS |
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