Fomin, Dimitry A.
Fomin, Dimitry A. is an individual health care provider with primary practice located at 2708 Rife Medical Ln Suite 200, Rogers AR 72758-1452. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Fomin, Dimitry A. can be contacted via phone (479) 338-3720.Contact Information
Primary practice address
2708 Rife Medical Ln Suite 200
Rogers AR 72758-1452
Phone: (479) 338-3720
Fax: (479) 338-3749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | E5557 | Arkansas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | E5557 | Arkansas |
Profile Details
| NPI number | 1831171263 |
|---|---|
| LBN Legal business name | Fomin, Dimitry A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Oct 31st, 2013 - about 13 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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