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:
Health care specialties
Specialty | Code | License # | 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 17 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 | 1295883320 | NPPES |
Pennsylvania | Other | PS-003889-L | STATE LICENSE NUMBER |
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