Ct Derm Pc

LBN: Ct Derm Pc
Ct Derm Pc is an health care organization with primary practice located at 811 Nw 12Th St , Fruitland ID 83619-2268. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Ct Derm Pc can be contacted via phone (208) 452-7450, or through Thornfeldt, Carl R via phone (208) 452-7450.

Contact Information

Primary practice address
811 Nw 12Th St Fruitland ID 83619-2268
Phone: (208) 452-7450
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thornfeldt, Carl R Doctor of Medicine (MD)
Phone: (208) 452-7450

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1902843485
LBN Legal business name Ct Derm Pc
DBA Doing business as
Authorized official Thornfeldt, Carl R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 27th, 2015 - about 11 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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