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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174787683 | NPPES |
| California | Other | PT34501 | LICENSE |
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