Domingo, Ernani S
Domingo, Ernani S is an individual health care provider with primary practice located at 33 Bay St , Manchester NH 03104. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Domingo, Ernani S can be contacted via phone (603) 624-1342.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3143 | New Hampshire |
Profile Details
| NPI number | 1477668028 |
|---|---|
| LBN Legal business name | Domingo, Ernani S |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477668028 | NPPES |
| New Hampshire | MEDICAID | 30303367 |
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