Demodna, Ian
Demodna, Ian is an sole proprietor health care provider with primary practice located at 1001 Richmond Rd , Williamsburg VA 23185-2895. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Demodna, Ian can be contacted via phone (757) 784-8790.Contact Information
Primary practice address
1001 Richmond Rd
Williamsburg VA 23185-2895
Phone: (757) 784-8790
Fax: (757) 208-0829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1669919833 |
|---|---|
| LBN Legal business name | Demodna, Ian |
| Credentials | M.A. COUNSELING |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2017 |
| Last updated | Jan 26th, 2017 - 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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