Dominic, William

Dominic, William is an individual health care provider with primary practice located at 2823 Fresno St , Fresno CA 93721-1324. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Dominic, William can be contacted via phone (559) 459-3770.

Contact Information

Primary practice address
2823 Fresno St Fresno CA 93721-1324
Phone: (559) 459-3770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X G60346 California
Allopathic & Osteopathic Physicians / Surgery 208600000X G60346 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X G60346 California

Profile Details

NPI number 1942310891
LBN Legal business name Dominic, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 14th, 2020 - about 6 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 1942310891 NPPES
California MEDICAID 00G603460

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