Demack, Michael Keene

Demack, Michael Keene is an individual health care provider with primary practice located at 806 S Ponderosa St , Payson AZ 85541-5541. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Demack, Michael Keene can be contacted via phone (928) 468-8603.

Contact Information

Primary practice address
806 S Ponderosa St Payson AZ 85541-5541
Phone: (928) 468-8603
Fax: (928) 468-8625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA 14934 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6422 Arizona

Profile Details

NPI number 1043347313
LBN Legal business name Demack, Michael Keene
Credentials PA C S
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Apr 19th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers