Demikis, Peggy P

Demikis, Peggy P is an individual health care provider with primary practice located at One Ingalls Dr W536, Harvey IL 60426. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Demikis, Peggy P can be contacted via phone (708) 915-6870.

Contact Information

Primary practice address
One Ingalls Dr W536 Harvey IL 60426
Phone: (708) 915-6870
Fax: (708) 333-9105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085000466 Illinois

Profile Details

NPI number 1508962838
LBN Legal business name Demikis, Peggy P
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Mar 31st, 2017 - about 8 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 1508962838 NPPES
Illinois MEDICAID L67625

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