Mrs Sandra Brotman Domoracki, AUD is a
Audiologist based in Tallmadge, Ohio. Mrs Sandra Brotman Domoracki is licensed to practice in Ohio (license number A00332) and her current practice location is
143 Northwest Ave, A, Tallmadge, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 633-2055.
NPI number for Mrs Sandra Brotman Domoracki is 1831642685 and her current mailing address is 143 Northwest Ave, A, Tallmadge, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831642685.
Healthcare Provider's Profile
Full Name | Mrs Sandra Brotman Domoracki |
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Gender | Female |
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Speciality | Audiologist |
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Location | 143 Northwest Ave, Tallmadge, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831642685
- Provider Enumeration Date: 07/28/2016
- Last Update Date: 07/28/2016
Medical Identifiers
Medical identifiers for Mrs Sandra Brotman Domoracki such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831642685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | A00332 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Sandra Brotman Domoracki is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Sandra Brotman Domoracki, AUD 143 Northwest Ave, A, Tallmadge, OH 44278-1832 Ph: (330) 633-2055 | Mrs Sandra Brotman Domoracki, AUD 143 Northwest Ave, A, Tallmadge, OH 44278-1832 Ph: (330) 633-2055 |
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