Macksoud, Dominick

Macksoud, Dominick is an individual health care provider with primary practice located at 222 W 39Th Ave , San Mateo CA 94403-4364. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Macksoud, Dominick can be contacted via phone (650) 573-2222.

Contact Information

Primary practice address
222 W 39Th Ave San Mateo CA 94403-4364
Phone: (650) 573-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 61217784 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501020247 Michigan
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 305298 California

Profile Details

NPI number 1396230918
LBN Legal business name Macksoud, Dominick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2018
Last updated Aug 27th, 2024 - about 2 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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