Dominguez, Martin Henninger

Dominguez, Martin Henninger is an individual health care provider with primary practice located at 2820 Waterford Lake Dr Ste 103 , Midlothian VA 23112-3994. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Dominguez, Martin Henninger can be contacted via phone (804) 249-8277.

Contact Information

Primary practice address
2820 Waterford Lake Dr Ste 103 Midlothian VA 23112-3994
Phone: (804) 249-8277
Fax: (804) 249-9690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 2305004476 Virginia

Profile Details

NPI number 1407855513
LBN Legal business name Dominguez, Martin Henninger
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Aug 2nd, 2022 - about 4 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 1407855513 NPPES
Virginia MEDICAID 010356393

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