Vernon, Dominic James

Vernon, Dominic James is an individual health care provider with primary practice located at 1130 W Michigan St Ste 400 , Indianapolis IN 46202-5209. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Vernon, Dominic James can be contacted via phone (317) 944-5000.

Contact Information

Primary practice address
1130 W Michigan St Ste 400 Indianapolis IN 46202-5209
Fax:
Website:

Profile Details

NPI number 1851737803
LBN Legal business name Vernon, Dominic James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2013
Last updated Apr 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851737803 NPPES
Indiana Other 000001300219 ANTHEM PTAN
Indiana MEDICAID 300029615 ANTHEM PTAN

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