Domhan, Mary
Domhan, Mary is an sole proprietor health care provider with primary practice located at 6800 Lucy Corr Blvd , Chesterfield VA 23832. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Domhan, Mary can be contacted via phone (804) 706-5648.Contact Information
Primary practice address
6800 Lucy Corr Blvd
Chesterfield VA 23832
Phone: (804) 706-5648
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 0131001557 | Virginia |
Profile Details
| NPI number | 1033418645 |
|---|---|
| LBN Legal business name | Domhan, Mary |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2011 |
| Last updated | Mar 20th, 2017 - about 9 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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