Demmons, Fredericka L

Demmons, Fredericka L is an individual health care provider with primary practice located at 3095 Kettering Blvd , Moraine OH 45439-1983. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Demmons, Fredericka L can be contacted via phone (937) 293-8300.

Contact Information

Primary practice address
3095 Kettering Blvd Moraine OH 45439-1983
Phone: (937) 293-8300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X 1376187419 Ohio

Profile Details

NPI number 1376187419
LBN Legal business name Demmons, Fredericka L
Credentials CASE MANAGER
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2019
Last updated May 8th, 2023 - about 2 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 1376187419 NPPES
Ohio MEDICAID 0379221

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