Smith, Dominic R.

Smith, Dominic R. is an sole proprietor health care provider with primary practice located at 6815 Noble Ave , Van Nuys CA 91405-3796. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Smith, Dominic R. can be contacted via phone (818) 901-6600.

Contact Information

Primary practice address
6815 Noble Ave Van Nuys CA 91405-3796
Phone: (818) 901-6600
Fax: (818) 997-7826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT34501 California

Profile Details

NPI number 1174787683
LBN Legal business name Smith, Dominic R.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2008
Last updated Feb 2nd, 2012 - about 14 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 1174787683 NPPES
California Other PT34501 LICENSE

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