Domangue, Brett Michael

Domangue, Brett Michael is an individual health care provider with primary practice located at 620 N Morrison Blvd Suite G, Hammond LA 70401-2312. 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. Domangue, Brett Michael can be contacted via phone (985) 543-4113.

Contact Information

Primary practice address
620 N Morrison Blvd Suite G Hammond LA 70401-2312
Phone: (985) 543-4113
Fax: (985) 543-4109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 02354 Louisiana

Profile Details

NPI number 1568698181
LBN Legal business name Domangue, Brett Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2009
Last updated Jan 29th, 2013 - about 12 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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