Smith, Dominic Joseph
Smith, Dominic Joseph is an individual health care provider with primary practice located at 903 Brightseat Rd , Landover MD 20785-4725. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Dominic Joseph can be contacted via phone (301) 333-2980.Contact Information
Primary practice address
903 Brightseat Rd
Landover MD 20785-4725
Phone: (301) 333-2980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 27358 | Maryland |
Profile Details
| NPI number | 1316678006 |
|---|---|
| LBN Legal business name | Smith, Dominic Joseph |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2022 |
| Last updated | Jun 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316678006 | NPPES |
| Maryland | Other | 27358 | MARYLAND BOARD OF SOCIAL WORK EXAMINERS |
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