Advanced Dermatology Of The Midlands Pc

LBN: Advanced Dermatology Of The Midlands Pc
Advanced Dermatology Of The Midlands Pc is an health care organization with primary practice located at 12910 Pierce St Ste 120 , Omaha NE 68144-1106. 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 The Midlands Pc can be contacted via phone (402) 933-3770, or through Shehan, James M. via phone (402) 933-3770.

Contact Information

Primary practice address
12910 Pierce St Ste 120 Omaha NE 68144-1106
Phone: (402) 933-3770
Fax: (402) 933-3633
Website:
Map and Directions
Authorized official contact:
Name: Shehan, James M. MD, FAAD
Phone: (402) 933-3770

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1497182273
LBN Legal business name Advanced Dermatology Of The Midlands Pc
DBA Doing business as
Authorized official Shehan, James M. MD, FAAD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2013
Last updated Feb 6th, 2019 - about 6 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 1497182273 NPPES
Iowa MEDICAID 1497182273
Iowa MEDICAID 100263840-00

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