Advanced Dermatology Of Ohio, Inc

LBN: Advanced Dermatology Of Ohio, Inc
Advanced Dermatology Of Ohio, Inc is an health care organization with primary practice located at 4834 Socialville Foster Rd Ste 20 , Mason OH 45040-6827. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Advanced Dermatology Of Ohio, Inc can be contacted via phone (513) 459-1988, or through Declue, Amy E via phone (407) 875-2080.

Contact Information

Primary practice address
4834 Socialville Foster Rd Ste 20 Mason OH 45040-6827
Phone: (513) 459-1988
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Declue, Amy E
Phone: (407) 875-2080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1760491401
LBN Legal business name Advanced Dermatology Of Ohio, Inc
DBA Doing business as
Authorized official Declue, Amy E
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 25th, 2023 - about 2 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 1760491401 NPPES
Ohio MEDICAID 2531406

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