Demario, Charles L.

Demario, Charles L. is an individual health care provider with primary practice located at 340 Ridge Road Suite 1, Newton Falls OH 44444. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Demario, Charles L. can be contacted via phone (330) 872-0330.

Contact Information

Primary practice address
340 Ridge Road Suite 1 Newton Falls OH 44444
Phone: (330) 872-0330
Fax: (330) 872-7664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35050888 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.050888 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35050888D Ohio

Profile Details

NPI number 1629070552
LBN Legal business name Demario, Charles L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Aug 14th, 2013 - about 12 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 1629070552 NPPES
Ohio Other 000000757681 ANTHEM
Ohio Other 341609341059 ANTHEM
Ohio Other 000000171147 ANTHEM
Ohio Other 000000757533 ANTHEM
Ohio Other 000000757696 ANTHEM
Ohio Other 000000757512 ANTHEM
Ohio MEDICAID 0564241 ANTHEM
Ohio Other C02792 ANTHEM

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