Dombeck, Nathan R

Dombeck, Nathan R is an individual health care provider with primary practice located at 1000 Mineral Point Ave , Janesville WI 53548-2940. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dombeck, Nathan R can be contacted via phone (608) 756-6049.

Contact Information

Primary practice address
1000 Mineral Point Ave Janesville WI 53548-2940
Phone: (608) 756-6049
Fax: (608) 756-6521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2568023 Wisconsin

Profile Details

NPI number 1760793012
LBN Legal business name Dombeck, Nathan R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2010
Last updated Nov 4th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760793012 NPPES
Wisconsin Other DOMBENAT MERCYCARE INSURANCE
Wisconsin Other 1760793012 MERCYCARE INSURANCE
Wisconsin MEDICAID 1760793012 MERCYCARE INSURANCE

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