Dermatology Specialists Inc

LBN: Dermatology Specialists Inc
Dermatology Specialists Inc is an health care organization with primary practice located at 12105 Bridgeton Square Drive , Bridgeton MO 63044-2616. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dermatology Specialists Inc can be contacted via phone (314) 291-2588, or through Hookerman, Bruce J via phone (314) 291-2588.

Contact Information

Primary practice address
12105 Bridgeton Square Drive Bridgeton MO 63044-2616
Phone: (314) 291-2588
Fax: (314) 291-4104
Website:
Map and Directions
Authorized official contact:
Name: Hookerman, Bruce J Doctor of Medicine (MD)
Phone: (314) 291-2588

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1427116680
LBN Legal business name Dermatology Specialists Inc
DBA Doing business as
Authorized official Hookerman, Bruce J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated May 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427116680 NPPES
Missouri MEDICAID 202820213

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