Gaziano, Dominic Joseph
Gaziano, Dominic Joseph is an sole proprietor health care provider with primary practice located at 3100 Maccorkle Ave Se Suite 404, Charleston WV 25304-1223. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gaziano, Dominic Joseph can be contacted via phone (304) 346-1811.Contact Information
Primary practice address
3100 Maccorkle Ave Se Suite 404
Charleston WV 25304-1223
Phone: (304) 346-1811
Fax: (304) 343-3086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 08871 | West Virginia |
Profile Details
| NPI number | 1629155171 |
|---|---|
| LBN Legal business name | Gaziano, Dominic Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Feb 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629155171 | NPPES |
| West Virginia | MEDICAID | 6002854 |
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