Domingo, Angie F

Domingo, Angie F is an individual health care provider with primary practice located at 926 N Michigan Ave , Saginaw MI 48602-4323. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Domingo, Angie F can be contacted via phone (989) 753-8453.

Contact Information

Primary practice address
926 N Michigan Ave Saginaw MI 48602-4323
Fax: (989) 753-3519
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X AD065940 Michigan

Profile Details

NPI number 1396744876
LBN Legal business name Domingo, Angie F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Apr 19th, 2010 - about 16 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 1396744876 NPPES
Michigan MEDICAID 4290660

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