Domingo, Orville Harold

Domingo, Orville Harold is an individual health care provider with primary practice located at 772 Providence Rd , Aldan PA 19018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Domingo, Orville Harold can be contacted via phone (610) 284-3444.

Contact Information

Primary practice address
772 Providence Rd Aldan PA 19018
Phone: (610) 284-3444
Fax: (610) 284-4223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD036634L Pennsylvania

Profile Details

NPI number 1346206695
LBN Legal business name Domingo, Orville Harold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346206695 NPPES
Pennsylvania MEDICAID 0006537220003
Pennsylvania Other 0030820000
Pennsylvania Other 4076579

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