Zelem, John Demetro

Zelem, John Demetro is an individual health care provider with primary practice located at 100 Hospital St Suite 100A, Booneville MS 38829-3354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Zelem, John Demetro can be contacted via phone (662) 720-5131.

Contact Information

Primary practice address
100 Hospital St Suite 100A Booneville MS 38829-3354
Phone: (662) 720-5131
Fax: (662) 720-5135
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 18717 Mississippi
Allopathic & Osteopathic Physicians / Surgery 208600000X 019923 Connecticut

Profile Details

NPI number 1467400358
LBN Legal business name Zelem, John Demetro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1467400358 NPPES
Mississippi MEDICAID 03331273

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