Demarest, David S.
Demarest, David S. is an individual health care provider with primary practice located at 715 Sw Ankeny Rd On With Life, Ankeny IA 50023-9798. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Demarest, David S. can be contacted via phone (515) 965-1339.Contact Information
Primary practice address
715 Sw Ankeny Rd On With Life
Ankeny IA 50023-9798
Phone: (515) 965-1339
Fax: (515) 964-0567
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 00971 | Iowa |
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X |
Profile Details
NPI number | 1336185933 |
---|---|
LBN Legal business name | Demarest, David S. |
Credentials | PH.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2006 |
Last updated | Sep 26th, 2023 - about last year |
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 | 1336185933 | NPPES |
Iowa | Other | 38361 | WELLMARK |
Iowa | MEDICAID | 6552280 | WELLMARK |
Iowa | MEDICAID | 0457184 | WELLMARK |
Iowa | MEDICAID | 100251333-00 | WELLMARK |
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