Omwenga, Dominic M

Omwenga, Dominic M is an individual health care provider with primary practice located at 106 Bow St , Elkton MD 21921-5544. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Omwenga, Dominic M can be contacted via phone (302) 897-1066.

Contact Information

Primary practice address
106 Bow St Elkton MD 21921-5544
Phone: (302) 897-1066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AC003032 Maryland

Profile Details

NPI number 1275161408
LBN Legal business name Omwenga, Dominic M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated Apr 1st, 2020 - about 6 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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