Domaas, Mark

Domaas, Mark is an individual health care provider with primary practice located at 4450 31St Ave S Ste 102, Fargo ND 58104-4557. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Domaas, Mark can be contacted via phone (701) 566-8721.

Contact Information

Primary practice address
4450 31St Ave S Ste 102 Fargo ND 58104-4557
Phone: (701) 566-8721
Fax: (701) 205-4593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016005716 Illinois
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 82 North Dakota

Profile Details

NPI number 1265845010
LBN Legal business name Domaas, Mark
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2014
Last updated Apr 28th, 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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