Dermatology Inc

LBN: Dermatology Inc
Dermatology Inc is an health care organization with primary practice located at 875 Airport Pkwy , Greenwood IN 46143-1085. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dermatology Inc can be contacted via phone (317) 926-3739, or through Autajay, Khristi via phone (317) 926-3739.

Contact Information

Primary practice address
875 Airport Pkwy Greenwood IN 46143-1085
Phone: (317) 926-3739
Fax: (317) 921-7478
Website:
Map and Directions
Authorized official contact:
Name: Autajay, Khristi
Phone: (317) 926-3739

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1053421610
LBN Legal business name Dermatology Inc
DBA Doing business as
Authorized official Autajay, Khristi
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 22nd, 2022 - about 4 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 1053421610 NPPES
Indiana MEDICAID 100056130 A

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