Ms Dominique Jenelle Clothiaux, CPM, LM, LMP is a
Midwife based in Charlottesville, Virginia. Ms Dominique Jenelle Clothiaux is licensed to practice in Virginia (license number 0129000142) and her current practice location is
1142 Saint Clair Ave, Charlottesville, Virginia. She can be reached at her office (for appointments etc.) via phone at
(434) 996-5095.
NPI number for Ms Dominique Jenelle Clothiaux is 1770635203 and her current mailing address is 1142 Saint Clair Ave, Charlottesville, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770635203.
Healthcare Provider's Profile
Full Name | Ms Dominique Jenelle Clothiaux |
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Gender | Female |
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Speciality | Midwife |
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Location | 1142 Saint Clair Ave, Charlottesville, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770635203
- Provider Enumeration Date: 01/17/2007
- Last Update Date: 04/22/2019
Medical Identifiers
Medical identifiers for Ms Dominique Jenelle Clothiaux such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770635203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA00020937 (Washington) | Secondary |
176B00000X | Midwife | 0129000142 (Virginia) | 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. Ms Dominique Jenelle Clothiaux 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 |
Ms Dominique Jenelle Clothiaux, CPM, LM, LMP 1142 Saint Clair Ave, Charlottesville, VA 22901-4144 Ph: (434) 996-5095 | Ms Dominique Jenelle Clothiaux, CPM, LM, LMP 1142 Saint Clair Ave, Charlottesville, VA 22901-4144 Ph: (434) 996-5095 |
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