Dome, Jeffrey S

Dome, Jeffrey S is an individual health care provider with primary practice located at 111 Michigan Ave Nw Children'S National Medical Center, Washington DC 20010-2916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Dome, Jeffrey S can be contacted via phone (202) 476-2800.

Contact Information

Primary practice address
111 Michigan Ave Nw Children'S National Medical Center Washington DC 20010-2916
Phone: (202) 476-2800
Fax: (202) 476-5685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X MD036384 District of Columbia

Profile Details

NPI number 1902809197
LBN Legal business name Dome, Jeffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 29th, 2012 - about 13 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 1902809197 NPPES
Tennessee MEDICAID 3821464
Tennessee MEDICAID 422400000
Tennessee MEDICAID 00119084
Tennessee MEDICAID 104788409
Tennessee MEDICAID 2045058
Tennessee MEDICAID 009912830
Tennessee MEDICAID 1135554 00
Tennessee MEDICAID 133502001
Tennessee MEDICAID 1548669
Tennessee MEDICAID 804006
Tennessee MEDICAID 0030431
Tennessee MEDICAID 010017688
Tennessee MEDICAID 0527630
Tennessee MEDICAID 060474601
Tennessee MEDICAID 205027006
Tennessee MEDICAID 64928674
Tennessee MEDICAID 7612398
Tennessee Other F94483

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