Avenues Dermatology Pllc

LBN: Avenues Dermatology Pllc
Avenues Dermatology Pllc is an health care organization with primary practice located at 420 Libbie Ave , Richmond VA 23226-2616. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Avenues Dermatology Pllc can be contacted via phone (804) 288-4410, or through Phieffer, Laura S via phone (804) 288-4410.

Contact Information

Primary practice address
420 Libbie Ave Richmond VA 23226-2616
Phone: (804) 288-4410
Fax: (804) 288-4458
Website:
Map and Directions
Authorized official contact:
Name: Phieffer, Laura S Doctor of Medicine (MD)
Phone: (804) 288-4410

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 0101059025 Virginia

Profile Details

NPI number 1699893388
LBN Legal business name Avenues Dermatology Pllc
DBA Doing business as
Authorized official Phieffer, Laura S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Oct 25th, 2013 - about 13 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 1699893388 NPPES
Virginia Other 1229850 HMO
Virginia Other 7229207 HMO
Virginia Other 187989 HMO

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