Dominguez, Robert Javier
Dominguez, Robert Javier is an individual health care provider with primary practice located at 784 E Main St , Lancaster OH 43130-3983. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Dominguez, Robert Javier can be contacted via phone (740) 687-0100.Contact Information
Primary practice address
784 E Main St
Lancaster OH 43130-3983
Phone: (740) 687-0100
Fax: (740) 687-0145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35053076D | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35053076D | Ohio |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 35053076D | Ohio |
Profile Details
| NPI number | 1619965472 |
|---|---|
| LBN Legal business name | Dominguez, Robert Javier |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Jun 8th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619965472 | NPPES |
| Ohio | MEDICAID | 0613161 | |
| Ohio | Other | 35053076D |
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