Demetrakeas, Alison

Demetrakeas, Alison is an individual health care provider with primary practice located at 54548 Berryfield Dr , Macomb MI 48042-2242. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Demetrakeas, Alison can be contacted via phone (616) 915-8737.

Contact Information

Primary practice address
54548 Berryfield Dr Macomb MI 48042-2242
Phone: (616) 915-8737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007098 Michigan

Profile Details

NPI number 1144620717
LBN Legal business name Demetrakeas, Alison
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2014
Last updated Nov 21st, 2016 - about 9 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 1144620717 NPPES
Michigan MEDICAID 1144620717

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