Fassas, Demetrius Alexander

Fassas, Demetrius Alexander is an individual health care provider with primary practice located at 609 W Galena St , Butte MT 59701-1507. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Fassas, Demetrius Alexander can be contacted via phone (406) 640-8069.

Contact Information

Primary practice address
609 W Galena St Butte MT 59701-1507
Phone: (406) 640-8069
Fax: (406) 303-5264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X BBH-BHPS-CRT-44134 Montana

Profile Details

NPI number 1548925654
LBN Legal business name Fassas, Demetrius Alexander
Credentials CBHPSS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2021
Last updated Nov 3rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548925654 NPPES
Montana Other BBH-BHPS-CRT-44134 BOARD OF BEHAVIORAL HEALTH, CERTIFIED PEER SUPPORT SPECIALIST LICENSE #

Popular Providers