Demicco, Deborah D
Demicco, Deborah D is an individual health care provider with primary practice located at 2001 Crystal Spring Ave Sw Suite 301, Roanoke VA 24014-2462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Demicco, Deborah D can be contacted via phone (540) 981-7165.Contact Information
Primary practice address
2001 Crystal Spring Ave Sw Suite 301
Roanoke VA 24014-2462
Phone: (540) 981-7165
Fax: (540) 983-1133
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 0101-039288 | Virginia |
Profile Details
NPI number | 1811978885 |
---|---|
LBN Legal business name | Demicco, Deborah D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 8th, 2005 |
Last updated | Aug 11th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811978885 | NPPES |
Virginia | MEDICAID | 5886112 | |
Virginia | MEDICAID | 6027156 |
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