Demetro, Keith Robert

Demetro, Keith Robert is an individual health care provider with primary practice located at 5354 New Castle Rd , Lowellville OH 44436. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Demetro, Keith Robert can be contacted via phone (330) 755-7090.

Contact Information

Primary practice address
5354 New Castle Rd Lowellville OH 44436
Phone: (330) 755-7090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X Ohio

Profile Details

NPI number 1508885757
LBN Legal business name Demetro, Keith Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 1st, 2018 - about 6 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 1508885757 NPPES
Ohio MEDICAID 0842888
Ohio MEDICAID 2059721

Popular Providers