Demarais, Deborah Anne
Demarais, Deborah Anne is an individual health care provider with primary practice located at 13819 Hanson Blvd Nw , Andover MN 55304-7608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Demarais, Deborah Anne can be contacted via phone (763) 572-5710.Contact Information
Primary practice address
13819 Hanson Blvd Nw
Andover MN 55304-7608
Phone: (763) 572-5710
Fax: (763) 862-4490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 30250 | Minnesota |
Profile Details
| NPI number | 1992767784 |
|---|---|
| LBN Legal business name | Demarais, Deborah Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Mar 23rd, 2012 - about 14 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 | 1992767784 | NPPES |
| Minnesota | Other | 4134987 | AETNA |
| Minnesota | Other | 24161 | AETNA |
| Minnesota | Other | 1200395 | AETNA |
| Minnesota | MEDICAID | 674508300 | AETNA |
| Minnesota | Other | HP19874 | AETNA |
| Minnesota | Other | 08F19DE | AETNA |
| Minnesota | Other | 1000890 | AETNA |
| Minnesota | Other | 107287 | AETNA |
| Minnesota | Other | 6603947 | AETNA |
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