Academic Dermatology,Pc

LBN: Academic Dermatology,Pc
Academic Dermatology,Pc is an health care organization with primary practice located at 6545 France Ave S Suite 564, Edina MN 55435-2131. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Academic Dermatology,Pc can be contacted via phone (952) 746-6090, or through Tope, Whitney D via phone (952) 746-6090.

Contact Information

Primary practice address
6545 France Ave S Suite 564 Edina MN 55435-2131
Phone: (952) 746-6090
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tope, Whitney D Doctor of Medicine (MD)
Phone: (952) 746-6090

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 38930 Minnesota

Profile Details

NPI number 1164662730
LBN Legal business name Academic Dermatology,Pc
DBA Doing business as
Authorized official Tope, Whitney D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2009
Last updated Oct 5th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164662730 NPPES
Minnesota MEDICAID 390822400

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