Flores, William Domingo

Flores, William Domingo is an individual health care provider with primary practice located at 1530 Saint Clair Ave Ne , Cleveland OH 44114-2004. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Flores, William Domingo can be contacted via phone (216) 535-9100.

Contact Information

Primary practice address
1530 Saint Clair Ave Ne Cleveland OH 44114-2004
Phone: (216) 535-9100
Fax: (216) 298-5015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9101746 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50.007917RX Ohio

Profile Details

NPI number 1295754166
LBN Legal business name Flores, William Domingo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Mar 2nd, 2023 - about 3 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 1295754166 NPPES
Florida MEDICAID 291168000
Florida MEDICAID 0007792

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