Dermatology Clinic, P.C.

LBN: Dermatology Clinic, P.C.
Dermatology Clinic, P.C. is an health care organization with primary practice located at 3245 International Cir Suite 200, Colorado Springs CO 80910-3152. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dermatology Clinic, P.C. can be contacted via phone (719) 484-8840, or through Waterhouse, Ken via phone (719) 484-8842.

Contact Information

Primary practice address
3245 International Cir Suite 200 Colorado Springs CO 80910-3152
Phone: (719) 484-8840
Fax: (719) 484-8845
Website:
Map and Directions
Authorized official contact:
Name: Waterhouse, Ken
Phone: (719) 484-8842

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1427297431
LBN Legal business name Dermatology Clinic, P.C.
DBA Doing business as
Authorized official Waterhouse, Ken
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2009
Last updated May 21st, 2009 - about 17 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 1427297431 NPPES
Colorado MEDICAID 98058363

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