Dominguez, Matthew David
Dominguez, Matthew David is an individual health care provider with primary practice located at 169 Ashley Ave Rm 202 , Charleston SC 29425-8905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dominguez, Matthew David can be contacted via phone (843) 792-8972.Contact Information
Primary practice address
169 Ashley Ave Rm 202
Charleston SC 29425-8905
Phone: (843) 792-8972
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MMD.92690 | South Carolina |
Profile Details
| NPI number | 1396580932 |
|---|---|
| LBN Legal business name | Dominguez, Matthew David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2024 |
| Last updated | Jun 26th, 2024 - about last year |
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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