Trivisonno, Dominick Peter

Trivisonno, Dominick Peter is an individual health care provider with primary practice located at 202 South 4Th Street West , Baker MT 59313-1119. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Trivisonno, Dominick Peter can be contacted via phone (406) 778-2833.

Contact Information

Primary practice address
202 South 4Th Street West Baker MT 59313-1119
Phone: (406) 778-2833
Fax: (406) 778-5131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 173465 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 11857 Montana

Profile Details

NPI number 1235303801
LBN Legal business name Trivisonno, Dominick Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Jan 30th, 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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