Demasters, Gerald A

Demasters, Gerald A is an individual health care provider with primary practice located at 1902 Braeburn Dr Ste 130 , Salem VA 24153-7304. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Demasters, Gerald A can be contacted via phone (540) 444-0460.

Contact Information

Primary practice address
1902 Braeburn Dr Ste 130 Salem VA 24153-7304
Phone: (540) 444-0460
Fax: (540) 444-0479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116023007 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101250656 Virginia

Profile Details

NPI number 1164746988
LBN Legal business name Demasters, Gerald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2010
Last updated Aug 31st, 2020 - about 4 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 1164746988 NPPES
Virginia MEDICAID 1164746988

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