Poulis, Demetri Tony
Poulis, Demetri Tony is an sole proprietor health care provider with primary practice located at 50 Hospital Dr Ste 1B , Hendersonville NC 28792-5252. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Poulis, Demetri Tony can be contacted via phone (828) 650-6822.Contact Information
Primary practice address
50 Hospital Dr Ste 1B
Hendersonville NC 28792-5252
Phone: (828) 650-6822
Fax: (828) 650-6827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200301402 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 200301402 | North Carolina |
Profile Details
| NPI number | 1275515538 |
|---|---|
| LBN Legal business name | Poulis, Demetri Tony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1275515538 | NPPES |
| Other | 13563 | BC/BS OF NC | |
| MEDICAID | 8913563 | BC/BS OF NC |
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