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NPI Code Detail

MEDICARE: DANIELLE NICOLE DEMKO

MEDICARE: DANIELLE NICOLE DEMKO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1629806773
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE NICOLE DEMKO
Provider Business Mailing Address
First Line : 270 E 12TH AVE APT B5
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-2251
Country : US
Telephone Number : 440-650-9786
Fax Number :
Provider Business Practice Location Address
First Line : 707 E JENKINS AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1318
Country : US
Telephone Number : 740-500-7931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2024
Last Update Date : 07/22/2024

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Directions to “ DANIELLE NICOLE DEMKO ” Practice Location

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