Marion, Dominique

Marion, Dominique is an individual health care provider with primary practice located at 3633 136Th Place Se Suite #110, Bellevue WA 98006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Marion, Dominique can be contacted via phone (425) 747-7202.

Contact Information

Primary practice address
3633 136Th Place Se Suite #110 Bellevue WA 98006
Phone: (425) 747-7202
Fax: (425) 643-0635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60107064 Washington

Profile Details

NPI number 1528076874
LBN Legal business name Marion, Dominique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Nov 22nd, 2022 - about 4 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 1528076874 NPPES
North Carolina MEDICAID 5904391
North Carolina Other 143RA
North Carolina MEDICAID N0089F

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