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
Phone: (317) 944-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 01082463A | Indiana |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D84871 | Maryland |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 01082463A | Indiana |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851737803 | NPPES |
| Indiana | Other | 000001300219 | ANTHEM PTAN |
| Indiana | MEDICAID | 300029615 | ANTHEM PTAN |
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