Pepper, Dominique Justin

Pepper, Dominique Justin is an individual health care provider with primary practice located at 500 Lilly Rd Ne Ste 201 , Olympia WA 98506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Pepper, Dominique Justin can be contacted via phone (360) 413-8272.

Contact Information

Primary practice address
500 Lilly Rd Ne Ste 201 Olympia WA 98506
Phone: (360) 413-8272
Fax: (360) 413-8878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD60818088 Washington

Profile Details

NPI number 1750691713
LBN Legal business name Pepper, Dominique Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2010
Last updated Jun 23rd, 2021 - about 5 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 1750691713 NPPES
Mississippi Other 796-L MS. TEMPORARY MEDICAL LICENSE

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