Luis F Domenech, MD
Family Medicine in Benton Harbor, Michigan
1275694242- Practice location
- 1385 East Empire Avenue, Benton Harbor, MI 49022-2037
- Phone
- 800-979-9595
- Fax
- 248-662-9845
- Last updated
- December 15, 2020
Luis F. Domenech is a Family Medicine based in Benton Harbor, MI. Luis F. Domenech practices in Benton Harbor, MI and has the professional credentials of MD. The NPI Number for Luis F. Domenech is 1275694242 and holds a License No. 4301077232 (MI). The current practice location address for Luis F. Domenech is 1385 East Empire Avenue, Benton Harbor, MI 49022-2037 and can be reached out via phone at 800-979-9595 and via fax at 248-662-9845.
Provider Profile Details
- NPI Number
- 1275694242
- Provider Name
- Luis F. Domenech
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1385 East Empire Avenue, Benton Harbor, MI 49022-2037
- Phone Number
- 800-979-9595
- Fax Number
- 248-662-9845
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 13, 2006
- Last Update Date
- December 15, 2020
- Certification Date
- December 15, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1385 East Empire Avenue
Benton Harbor, MI 49022-2037 - City
- Benton Harbor
- State
- Michigan
- Zip
- 49022-2037
- Phone Number
- 800-979-9595
- Fax Number
- 248-662-9845
Provider Business Mailing Address Details
- Address
- 21333 Haggerty RD.
Suite 150
Novi, MI 48375-5514 - City
- Novi
- State
- MI
- Zip
- 48375-5514
- Phone Number
- 248-662-0250
- Fax Number
- 248-662-9845
License Information
- License Number (1)
- 4301077232
- License State (1)
- MI
- Taxonomy (1)
- Family Medicine · 207Q00000X · Primary
- License Number (2)
- 9465
- License State (2)
- PR
- Taxonomy (2)
- General Practice · 208D00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Benton Harbor, MI
View all Family Medicine providers in Benton Harbor →Frequently Asked Questions
What is the NPI number of Luis F Domenech, MD?
The NPI number of Luis F Domenech, MD is 1275694242. It was assigned on December 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Luis F Domenech, MD?
Luis F Domenech, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MI under license number 4301077232.
Where does Luis F Domenech, MD practice?
The practice location is 1385 East Empire Avenue, Benton Harbor, MI 49022-2037. The office can be reached at 800-979-9595 (phone) or 248-662-9845 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275694242 directly on the NPPES registry website.