Dominguez, Deborah Ann

Dominguez, Deborah Ann is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06032-1956. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Dominguez, Deborah Ann can be contacted via phone (860) 679-2000.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06032-1956
Phone: (860) 679-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 002045 Connecticut

Profile Details

NPI number 1689681934
LBN Legal business name Dominguez, Deborah Ann
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Apr 16th, 2021 - about 5 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 1689681934 NPPES
Connecticut MEDICAID 004208767

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