Domdera, Richard James

Domdera, Richard James is an individual health care provider with primary practice located at 3009 Smith Rd Suite 200, Fairlawn OH 44333-2666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Domdera, Richard James can be contacted via phone (330) 836-8471.

Contact Information

Primary practice address
3009 Smith Rd Suite 200 Fairlawn OH 44333-2666
Phone: (330) 836-8471
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35077042D Ohio

Profile Details

NPI number 1891763058
LBN Legal business name Domdera, Richard James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 28th, 2012 - about 14 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 1891763058 NPPES
Ohio Other 729920 BUCKEYE COMMUNITY INSURAN
Ohio Other 000000312579 BUCKEYE COMMUNITY INSURAN
Ohio Other P00121516 BUCKEYE COMMUNITY INSURAN
Ohio Other 374 BUCKEYE COMMUNITY INSURAN
Ohio Other Q004524 BUCKEYE COMMUNITY INSURAN
Ohio MEDICAID 2283176 BUCKEYE COMMUNITY INSURAN
Ohio Other 97033 BUCKEYE COMMUNITY INSURAN

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