Waterbury, Dominique Michele

Waterbury, Dominique Michele is an individual health care provider with primary practice located at 5400 Euper Ln , Fort Smith AR 72903-3232. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Waterbury, Dominique Michele can be contacted via phone (479) 755-6601.

Contact Information

Primary practice address
5400 Euper Ln Fort Smith AR 72903-3232
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 928984961 Arkansas

Profile Details

NPI number 1043773922
LBN Legal business name Waterbury, Dominique Michele
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2019
Last updated Apr 9th, 2019 - about 7 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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