Demangone, Michael J
Demangone, Michael J is an sole proprietor health care provider with primary practice located at 463 S Lake Powell Blvd , Page AZ 86040-0790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Demangone, Michael J can be contacted via phone (928) 645-0945.Contact Information
Primary practice address
463 S Lake Powell Blvd
Page AZ 86040-0790
Phone: (928) 645-0945
Fax: (928) 645-3254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21633 | Arizona |
Profile Details
| NPI number | 1841294378 |
|---|---|
| LBN Legal business name | Demangone, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | May 27th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841294378 | NPPES |
| Arizona | MEDICAID | 141573 |
Popular Providers
-
Holsten, Raymond Lee
467 Vista Avenue , Page AZ 86040-1625 -
Minnehan, Haley J
701 Lewiston St , Cottonwood ID 83522-9750 -
Foley, Dennis James
467 Vista Avenue , Page AZ 86040-1625 -
Fluharty, Kelly C
800 Grand Central Mall Suite 4, Vienna WV 26105-4131 -
Swanson, Evan Joel
1301 S. Main St. , Ottawa KS 66067 -
Penner, Timothy M.
609 Liberty St , Clay Center KS 67432-1564 -
Miranda, Roberto
1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121 -
Cluff, Benjamin Joseph
501 N Navajo Dr , Page AZ 86040-0959