Edgar A Domenech
Student in an Organized Health Care Education/Training Program in Fayetteville, North Carolina
1770191629- Practice location
- 1638 Owen Drive, Fayetteville, NC 28304
- Phone
- 910-615-4000
- Fax
- —
- Last updated
- April 8, 2023
Edgar Antonio Domenech is a Student in an Organized Health Care Education/Training Program based in Fayetteville, NC. Edgar Antonio Domenech practices in Fayetteville, NC. The NPI Number for Edgar Antonio Domenech is 1770191629. The current practice location address for Edgar Antonio Domenech is 1638 Owen Drive, Fayetteville, NC 28304 and can be reached out via phone at 910-615-4000.
Provider Profile Details
- NPI Number
- 1770191629
- Provider Name
- Edgar Antonio Domenech
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1638 Owen Drive, Fayetteville, NC 28304
- Phone Number
- 910-615-4000
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 16, 2020
- Last Update Date
- April 8, 2023
- Certification Date
- April 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1638 Owen Drive
Fayetteville, NC 28304 - City
- Fayetteville
- State
- North Carolina
- Zip
- 28304
- Phone Number
- 910-615-4000
Provider Business Mailing Address Details
- Address
- 1638 Owen Drive
Fayetteville, NC 28304 - City
- Fayetteville
- State
- NC
- Zip
- 28304
- Phone Number
- 910-615-4000
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Edgar A Domenech?
The NPI number of Edgar A Domenech is 1770191629. It was assigned on July 16, 2020 and is currently active in the NPPES registry.
What is the specialty of Edgar A Domenech?
Edgar A Domenech is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Edgar A Domenech practice?
The practice location is 1638 Owen Drive, Fayetteville, NC 28304. The office can be reached at 910-615-4000 (phone).
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 1770191629 directly on the NPPES registry website.