Ladd, Domanique L

Ladd, Domanique L is an individual health care provider with primary practice located at 87 Fir St , Park Forest IL 60466-1706. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Specialist. Other Service Providers / Driver is her primary health care specialty. Ladd, Domanique L can be contacted via phone (708) 830-5320.

Contact Information

Primary practice address
87 Fir St Park Forest IL 60466-1706
Phone: (708) 830-5320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Illinois
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1437698032
LBN Legal business name Ladd, Domanique L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2017
Last updated Feb 15th, 2017 - about 9 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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