Van Demark, Robert Eugene
Van Demark, Robert Eugene is an individual health care provider with primary practice located at 1210 W 18Th St Ste G01 , Sioux Falls SD 57104-4651. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Van Demark, Robert Eugene can be contacted via phone (605) 328-2663.Contact Information
Primary practice address
1210 W 18Th St Ste G01
Sioux Falls SD 57104-4651
Phone: (605) 328-2663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 55491 | Minnesota |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2016-00257 | North Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 10520 | South Dakota |
Profile Details
| NPI number | 1063708915 |
|---|---|
| LBN Legal business name | Van Demark, Robert Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2011 |
| Last updated | Jun 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063708915 | NPPES |
| North Carolina | MEDICAID | 1063708915 | |
| North Carolina | MEDICAID | NC2779 |
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