<Unavail>
LBN: Black Hills Dermatology Pc
<Unavail> is an health care organization with primary practice located at 7236 Jordan Drive Suite 101 , Rapid City SD 57702-8740. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Black Hills Dermatology Pc can be contacted via phone (605) 341-5565, or through Gorman, Jason W via phone (605) 341-5565.
Contact Information
Primary practice address
7236 Jordan Drive Suite 101
Rapid City SD 57702-8740
Phone: (605) 341-5565
Fax: (605) 341-5595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0370 | South Dakota |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 0370 | South Dakota |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 0370 | South Dakota |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 0370 | South Dakota |
Profile Details
| NPI number | 1497727028 |
|---|---|
| LBN Legal business name | Black Hills Dermatology Pc |
| DBA Doing business as | <Unavail> |
| Authorized official | Gorman, Jason W |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | May 20th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497727028 | NPPES |
| South Dakota | Other | 0040885 | WELLMARK BCBS NUMBER |
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