Dermatology Clinic Of Muncie, Inc.

LBN: Dermatology Clinic Of Muncie, Inc.
Dermatology Clinic Of Muncie, Inc. is an health care organization with primary practice located at 1808 W Royale Dr , Muncie IN 47304-2243. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dermatology Clinic Of Muncie, Inc. can be contacted via phone (765) 288-8188, or through Bartholome, Charles William via phone (765) 288-8188.

Contact Information

Primary practice address
1808 W Royale Dr Muncie IN 47304-2243
Phone: (765) 288-8188
Fax: (765) 282-7242
Website:
Map and Directions
Authorized official contact:
Name: Bartholome, Charles William Doctor of Medicine (MD)
Phone: (765) 288-8188

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 50001481A Indiana

Profile Details

NPI number 1477647303
LBN Legal business name Dermatology Clinic Of Muncie, Inc.
DBA Doing business as
Authorized official Bartholome, Charles William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Oct 18th, 2007 - about 19 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 1477647303 NPPES
Indiana MEDICAID 100105450

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