Jesse Dominguez

NPI 1245198696 · on the registry since 2026 · sole proprietor

Practice

Address: 7970 W Jefferson Blvd
Fort Wayne, IN 46804
Phone: (260) 435-6100
Organisation at this address: Bengal Medical Care Pc
Rehab Hospital Of Fort Wayne Llc
Post-Acute Physicians Of Indiana Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 156F00000X
156F00000X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana