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Dominick Joseph Acquaro, DO
Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana
NPI 1366930737

Dominick Joseph Acquaro is a Student in an Organized Health Care Education/Training Program based in South Bend, IN. Dominick Joseph Acquaro practices in Mishawaka, IN and has the professional credentials of DO. The NPI Number for Dominick Joseph Acquaro is 1366930737 and holds a License No. (Indiana).

The current practice location address for Dominick Joseph Acquaro is 611 E Douglas Rd Ste 407, Mishawaka, IN and can be reached out via phone at 574-335-6500 and via fax at 574-335-0772. You can also correspond with Dominick Joseph Acquaro through the mailing address at 707 CEDAR ST STE 200, SOUTH BEND, IN - 46617-2057 (mailing address contact number: 574-335-8700).

Location: 611 E Douglas Rd Ste 407, Mishawaka, IN, 46617-2057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366930737
Provider Name
Dominick Joseph Acquaro
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
611 E Douglas Rd Ste 407, Mishawaka, IN, 46617-2057
Phone Number
574-335-6500
Fax Number
574-335-0772
Provider Enumeration Date
05/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 IN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd Ste 407
City
Mishawaka
State
Indiana
Zip
46545-1468
Phone Number
574-335-6500
Fax Number
574-335-0772
person
Provider Business Mailing Address Details
Address
707 Cedar St Ste 200
City
South Bend
State
Indiana
Zip
46617-2057
Phone Number
574-335-8700
Fax Number
574-335-0741
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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