Demott, Megan C

Demott, Megan C is an individual health care provider with primary practice located at 5984 La Jolla Corona Dr , La Jolla CA 92037-7447. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Demott, Megan C can be contacted via phone (503) 490-8067.

Contact Information

Primary practice address
5984 La Jolla Corona Dr La Jolla CA 92037-7447
Phone: (503) 490-8067
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A96269 California

Profile Details

NPI number 1174507370
LBN Legal business name Demott, Megan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Dec 9th, 2011 - about 13 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 1174507370 NPPES
California MEDICAID 00A962690
California MEDICAID 1174507370

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