Domurat, Justin

Domurat, Justin is an individual health care provider with primary practice located at 7401 Greenbelt Rd , Greenbelt MD 20770-3402. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Domurat, Justin can be contacted via phone (301) 982-5437.

Contact Information

Primary practice address
7401 Greenbelt Rd Greenbelt MD 20770-3402
Phone: (301) 982-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 61214691 Washington

Profile Details

NPI number 1871251090
LBN Legal business name Domurat, Justin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2021
Last updated Dec 5th, 2021 - about 5 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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