Domarad, William K.
Domarad, William K. is an individual health care provider with primary practice located at 505 Ne 87Th Ave Ste 460 , Vancouver WA 98664-1965. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Domarad, William K. can be contacted via phone (360) 514-7771.Contact Information
Primary practice address
505 Ne 87Th Ave Ste 460
Vancouver WA 98664-1965
Phone: (360) 514-7771
Fax: (360) 514-7769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 7330 | South Dakota |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DO-04320 | Iowa |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 02003790A | Indiana |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | O-1291 | Idaho |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | OP00001949 | Washington |
Profile Details
| NPI number | 1831108455 |
|---|---|
| LBN Legal business name | Domarad, William K. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jun 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831108455 | NPPES |
| Idaho | MEDICAID | 806992600 | |
| Idaho | Other | 000010148189 | |
| Idaho | MEDICAID | 201057130 | |
| Idaho | Other | 000000756863 | |
| Idaho | Other | S5247 | |
| Idaho | MEDICAID | 0109759 |
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