Demertzis, Jennifer Lee

Demertzis, Jennifer Lee is an individual health care provider with primary practice located at 232 S Woods Mill Rd , Chesterfield MO 63017-3406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Demertzis, Jennifer Lee can be contacted via phone (314) 434-1500.

Contact Information

Primary practice address
232 S Woods Mill Rd Chesterfield MO 63017-3406
Phone: (314) 434-1500
Fax: (314) 548-4748
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2008007442 Missouri

Profile Details

NPI number 1245326966
LBN Legal business name Demertzis, Jennifer Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 18th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245326966 NPPES
Illinois MEDICAID ENROLLED
Illinois MEDICAID 1245326966
Illinois Other 2008007442

Popular Providers