Demangone, David Anthony

Demangone, David Anthony is an sole proprietor health care provider with primary practice located at 6025 Commerce Cir #2, Willoughby OH 44094-9668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Demangone, David Anthony can be contacted via phone (440) 944-1414.

Contact Information

Primary practice address
6025 Commerce Cir #2 Willoughby OH 44094-9668
Phone: (440) 944-1414
Fax: (440) 944-1445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 35071438D Ohio

Profile Details

NPI number 1548225832
LBN Legal business name Demangone, David Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Jun 17th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548225832 NPPES
Ohio Other 000000360726 BLUE CROSS/BLUE SHIELD
Ohio Other 000000360726 BLUE CROSS/BLUE SHIELD
Ohio Other 050049657 BLUE CROSS/BLUE SHIELD
Ohio MEDICAID 2008053 BLUE CROSS/BLUE SHIELD

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