Individual
DEMETREE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
797 W ROBB AVE, LIMA, OH 45801-2785
(419) 227-5437
(567) 289-5594
Mailing address
797 W ROBB AVE, LIMA, OH 45801-2785
(419) 227-5437
(567) 289-5594
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
025095
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161509
—
OH
Enumeration date
10/11/2022
Last updated
10/11/2022
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