Demidovich, Joseph Stephen
Demidovich, Joseph Stephen is an individual health care provider with primary practice located at 1569 Medical Dr Ste 202 , Pottstown PA 19464-3223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Demidovich, Joseph Stephen can be contacted via phone (484) 948-3860.Contact Information
Primary practice address
1569 Medical Dr Ste 202
Pottstown PA 19464-3223
Phone: (484) 948-3860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MB08581900 | New Jersey |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | OS014147 | Pennsylvania |
Profile Details
| NPI number | 1609059112 |
|---|---|
| LBN Legal business name | Demidovich, Joseph Stephen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2007 |
| Last updated | Oct 17th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609059112 | NPPES |
| Pennsylvania | MEDICAID | 1027179750001 |
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