Demerath, Robert Richard

Demerath, Robert Richard is an sole proprietor health care provider with primary practice located at 388 Evans St Suite 303, Williamsville NY 14221-5626. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Demerath, Robert Richard can be contacted via phone (716) 632-7066.

Contact Information

Primary practice address
388 Evans St Suite 303 Williamsville NY 14221-5626
Phone: (716) 632-7066
Fax: (716) 632-7066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 010385 New York

Profile Details

NPI number 1801885595
LBN Legal business name Demerath, Robert Richard
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated Sep 10th, 2007 - about 19 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 1801885595 NPPES
New York Other 000511044003 BLUECROSS BLUESHIELD
New York MEDICAID 01276273 BLUECROSS BLUESHIELD

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