Dominguez, David Anthony

Dominguez, David Anthony is an individual health care provider with primary practice located at 814 Caroline Ave , Junction City KS 66441-5210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Dominguez, David Anthony can be contacted via phone (785) 762-5250.

Contact Information

Primary practice address
814 Caroline Ave Junction City KS 66441-5210
Phone: (785) 762-5250
Fax: (785) 762-2144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 112063 North Carolina

Profile Details

NPI number 1689772469
LBN Legal business name Dominguez, David Anthony
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 6th, 2018 - about 8 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 1689772469 NPPES
North Carolina MEDICAID 6005013

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