Demos, Peter T

Demos, Peter T is an sole proprietor health care provider with primary practice located at 125 Liberty St Ste 403, Springfield MA 01103-1109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Demos, Peter T can be contacted via phone (413) 739-6611.

Contact Information

Primary practice address
125 Liberty St Ste 403 Springfield MA 01103-1109
Phone: (413) 739-6611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 58416 Massachusetts

Profile Details

NPI number 1619977402
LBN Legal business name Demos, Peter T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2005
Last updated Dec 25th, 2021 - about 5 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 1619977402 NPPES
Massachusetts Other J06761 PROVIDER NUMBER
Massachusetts Other 11753 PROVIDER NUMBER
Massachusetts Other 725076 PROVIDER NUMBER

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