Demeo, Mark

Demeo, Mark is an individual health care provider with primary practice located at 1165 Montgomery Dr Pathology Dept, Santa Rosa CA 95405-4801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Demeo, Mark can be contacted via phone (209) 575-4575.

Contact Information

Primary practice address
1165 Montgomery Dr Pathology Dept Santa Rosa CA 95405-4801
Phone: (209) 575-4575
Fax: (209) 575-4598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G12988 California

Profile Details

NPI number 1447208921
LBN Legal business name Demeo, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jan 29th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447208921 NPPES
California MEDICAID 00G129880

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