Demello, David William

Demello, David William is an sole proprietor health care provider with primary practice located at 36539 Harper Ave , Clinton Township MI 48035-2012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Demello, David William can be contacted via phone (586) 900-8225.

Contact Information

Primary practice address
36539 Harper Ave Clinton Township MI 48035-2012
Fax: (920) 356-6419
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X DD07358 Michigan

Profile Details

NPI number 1639375884
LBN Legal business name Demello, David William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2007
Last updated Jan 11th, 2024 - about last year

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 1639375884 NPPES
Michigan MEDICAID 4939290

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