Demaio, Kristine

Demaio, Kristine is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is her primary health care specialty. Demaio, Kristine can be contacted via phone (601) 815-1292.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-1292
Fax: (601) 984-5110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 92955 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X T2942 Mississippi
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 92955 Georgia

Profile Details

NPI number 1508250515
LBN Legal business name Demaio, Kristine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2015
Last updated Sep 8th, 2022 - about 4 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 1508250515 NPPES
Mississippi MEDICAID 03830326

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