Demoss, Deidra

Demoss, Deidra is an individual health care provider with primary practice located at 327 Medical Park Dr , Bridgeport WV 26330-9006. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Demoss, Deidra can be contacted via phone (681) 342-3690.

Contact Information

Primary practice address
327 Medical Park Dr Bridgeport WV 26330-9006
Phone: (681) 342-3690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X LAT-3856 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2765 West Virginia

Profile Details

NPI number 1487111894
LBN Legal business name Demoss, Deidra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2019
Last updated Dec 6th, 2023 - about 3 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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