Dominique Phua

  • NPI 1053784413
According to our database, the NPI number for Dominique Phua is 1053784413 and activated since 8 years ago. Dominique Phua is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1115 Ball Ave Ne, Grand Rapids, MI 49505. You can also contact Dominique Phua via telephone number is (616) 459-7215. Provider NPI information was last updated on 11/07/2015.

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Overview of Dominique Phua

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/07/2015
  • Last updated: 11/07/2015

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 3743369
  • License State: MI

Provider Mailing Address

  • Address: 3249 Huntington Woods Dr Se
    Apt F
    Kentwood, MI 49512
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 1115 Ball Ave Ne
    Grand Rapids, MI 49505
  • Phone: 616-459-7215
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 3743369
  • License State: MI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Dominique Phua?
  • A: The npi number for Dominique Phua is 1053784413.
  • Q: What are Dominique Phua's specialties?
  • A: Dominique Phua's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Dominique Phua?
  • A: The medical license number for Dominique Phua is 3743369 and issued in MI in USA.
  • Q: Where is Dominique Phua practice location?
  • A: Dominique Phua is practicing at 1115 Ball Ave Ne, Grand Rapids, MI 49505.
  • Q: How to contact Dominique Phua?
  • A: You can contact Dominique Phua via 616-459-7215.
Medicare Specialty
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