Demetroulakos, James L

Demetroulakos, James L is an individual health care provider with primary practice located at 104 Endicott St Suite 100, Danvers MA 01923-3623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Demetroulakos, James L can be contacted via phone (978) 745-6601.

Contact Information

Primary practice address
104 Endicott St Suite 100 Danvers MA 01923-3623
Phone: (978) 745-6601
Fax: (978) 624-4040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 79502 Massachusetts

Profile Details

NPI number 1326011180
LBN Legal business name Demetroulakos, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Dec 29th, 2021 - about 3 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 1326011180 NPPES
Massachusetts Other 1000021 UNITED HEALTH NUMBER
Massachusetts Other 19486 UNITED HEALTH NUMBER
Massachusetts Other 2084343 UNITED HEALTH NUMBER
Massachusetts Other 0012294 UNITED HEALTH NUMBER
Massachusetts Other 040006919 UNITED HEALTH NUMBER
Massachusetts MEDICAID 3129101 UNITED HEALTH NUMBER
Massachusetts Other 079502 UNITED HEALTH NUMBER
Massachusetts Other 34544 UNITED HEALTH NUMBER
Massachusetts Other J30549 UNITED HEALTH NUMBER

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