Jeffrey Royal Deemer-White
Individual provider Active NPI Religious Nonmedical Nursing Personnel · Delafield, WI
NPI 1750807129 · NPPES record last updated Aug 17, 2017
Key facts
- NPI
- 1750807129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Religious Nonmedical Nursing Personnel 374T00000X
- Practice address
- 935 Main St
Delafield, WI 53018-1613 - Phone
- (262) 646-3361
- NPI assigned
- Aug 17, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearview Home Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Religious Nonmedical Nursing Personnel | 374T00000X | Yes |
Addresses
Primary practice location
935 Main St
Delafield, WI 53018-1613
Mailing address
4912 Woodfield CT Apt 7
Nashotah, WI 53058-9661
Phone (262) 646-3361
Other providers in Delafield, WI
- Creating Balance LLC
- David W Cullinane
- Kathryn M Daggett
- Tara L. Dall
- Alissa K Darin
- Delafield Chiropractic LLC
- Delafield Dental LLC
- Delafield Dental Specialists LLC
- Delafield Family Chiropractic LTD
- Delafield Family Dental, Inc
All providers in Delafield, WI · Religious Nonmedical Nursing Personnel in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.