Demotte, Michael J
Demotte, Michael J is an individual health care provider with primary practice located at 1925 Pacific Ave , Atlantic City NJ 08401-6713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Demotte, Michael J can be contacted via phone (609) 652-1000.Contact Information
Primary practice address
1925 Pacific Ave
Atlantic City NJ 08401-6713
Phone: (609) 652-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01059078 | Indiana |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01059078A | Indiana |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D12309700 | New Jersey |
Profile Details
NPI number | 1932156924 |
---|---|
LBN Legal business name | Demotte, Michael J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2006 |
Last updated | May 7th, 2024 - about last year |
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 | 1932156924 | NPPES |
Indiana | MEDICAID | 200460650 | |
Indiana | MEDICAID | 0965715 |
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