Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMERLIN SODUSTA
Active Sole ProprietorDOMERLIN SODUSTA is a Durable Medical Equipment & Medical Supplies healthcare provider located in OMAHA, Nebraska. NPI 1679978084 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · OMAHA, NE
Registration Details
- NPI Number
- 1679978084
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2014 (11.806742219126 yrs)
- Last Updated
- Oct 28, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
4905 S 107TH AVESUITE 206OMAHA, NE, 681271965Browse NE providers · Browse ZIP 68127
- Phone
- 4029681643
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Other Durable Medical Equipment & Medical Supplies Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| MINA LILI MASSIH | CFO | 1609010685 |
| OBIOZOR OKOLO | — | 1023716776 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.