Demchuk, Beverly
Demchuk, Beverly is an individual health care provider with primary practice located at 1900 Corlies Ave 2Nd Floor, Neptune NJ 07753-4800. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Demchuk, Beverly can be contacted via phone (732) 663-1123.Contact Information
Primary practice address
1900 Corlies Ave 2Nd Floor
Neptune NJ 07753-4800
Phone: (732) 663-1123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA07818700 | New Jersey |
Profile Details
| NPI number | 1932292554 |
|---|---|
| LBN Legal business name | Demchuk, Beverly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Mar 4th, 2016 - about 9 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 | 1932292554 | NPPES |
| New Jersey | MEDICAID | 9004009 |
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