Dominik, Jacob

Dominik, Jacob is an individual health care provider with primary practice located at 755 Jefferson Rd Ste 110, Rochester NY 14623-3233. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Dominik, Jacob can be contacted via phone (585) 419-7948.

Contact Information

Primary practice address
755 Jefferson Rd Ste 110 Rochester NY 14623-3233
Phone: (585) 419-7948
Fax: (585) 385-6071
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 104326 Minnesota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 52196 Minnesota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 104326 Minnesota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME98936 Florida
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 257520 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 257520 New York

Profile Details

NPI number 1629233861
LBN Legal business name Dominik, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2008
Last updated Sep 13th, 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 1629233861 NPPES
Iowa MEDICAID ENROLLED
Iowa MEDICAID 03400199
Iowa MEDICAID ENROLLED
Iowa Other P010257520
Iowa Other P00804268

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