MR. ELIE TADIESSE DOMGUIA
NPI 1386347474
Driver in West Allis, WI
About Mr. Elie Tadiesse Domguia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ELIE TADIESSE DOMGUIA (NPI 1386347474) is an individual driver provider in West Allis, Wisconsin and active in the NPI registry since March 2023.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elie Tadiesse Domguia's NPI number?
The NPI number for Elie Tadiesse Domguia is 1386347474. It was assigned to this individual provider in the NPPES registry on March 27, 2023.
Where is Elie Tadiesse Domguia located?
Elie Tadiesse Domguia practices at 1428 S 88th St, West Allis, WI 53214. The listed phone number is (414) 379-1079.
What is Elie Tadiesse Domguia's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Elie Tadiesse Domguia was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Elie Tadiesse Domguia · NPI 1386347474
Driver provider in West Allis, Wisconsin. Individual provider, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1386347474 (Entity type: Individual)
- **Enumerated:** March 27, 2023
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1428 S 88TH ST, West Allis, WI 53214-4303
- **Phone:** (414) 379-1079
## Record status
- **NPPES last updated:** March 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1386347474) · Data from the CMS NPPES public registry.