Dematatis, Chris Gus

Dematatis, Chris Gus is an sole proprietor health care provider with primary practice located at 191 Presidential Blvd Suite 124, Bala Cynwyd PA 19004-1207. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Dematatis, Chris Gus can be contacted via phone (610) 667-5829.

Contact Information

Primary practice address
191 Presidential Blvd Suite 124 Bala Cynwyd PA 19004-1207
Phone: (610) 667-5829
Fax: (610) 667-3438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PS-003889-L Pennsylvania

Profile Details

NPI number 1295883320
LBN Legal business name Dematatis, Chris Gus
Credentials CHRIS DEMATATIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 18 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 1295883320 NPPES
Pennsylvania Other PS-003889-L STATE LICENSE NUMBER

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