Demashkieh, Walid

Demashkieh, Walid is an individual health care provider with primary practice located at 2609 Electric Ave Suite B, Port Huron MI 48060-6589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Demashkieh, Walid can be contacted via phone (810) 984-1148.

Contact Information

Primary practice address
2609 Electric Ave Suite B Port Huron MI 48060-6589
Phone: (810) 984-1148
Fax: (810) 984-1149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301039123 Michigan

Profile Details

NPI number 1871667071
LBN Legal business name Demashkieh, Walid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 10th, 2015 - about 11 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 1871667071 NPPES
Other 4061902 AETNA
Other 0740003 AETNA
MEDICAID 2640474 TYPE 10 AETNA

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