Shields, Dominque Lacatherine
Shields, Dominque Lacatherine is an individual health care provider with primary practice located at 211 Donald Dr Ste B , Fairfield OH 45014-3006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shields, Dominque Lacatherine can be contacted via phone (513) 454-1111.Contact Information
Primary practice address
211 Donald Dr Ste B
Fairfield OH 45014-3006
Phone: (513) 454-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | APRN.CNP.022247 | Ohio |
Profile Details
| NPI number | 1720586423 |
|---|---|
| LBN Legal business name | Shields, Dominque Lacatherine |
| Credentials | APRN CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2018 |
| Last updated | Jan 10th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720586423 | NPPES |
| Ohio | MEDICAID | 0442243 |
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