Eagle River Dermatology Inc

LBN: Eagle River Dermatology Inc
Eagle River Dermatology Inc is an health care organization with primary practice located at 16839 Park Place St , Eagle River AK 99577. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Eagle River Dermatology Inc can be contacted via phone (907) 694-3303, or through Proctor, Lindsay Jay via phone (907) 694-3303.

Contact Information

Primary practice address
16839 Park Place St Eagle River AK 99577
Phone: (907) 694-3303
Fax: (907) 694-4773
Website:
Map and Directions
Authorized official contact:
Name: Proctor, Lindsay Jay Master of Arts (MA)
Phone: (907) 694-3303

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X AK503 Alaska

Profile Details

NPI number 1750880654
LBN Legal business name Eagle River Dermatology Inc
DBA Doing business as Eagle River Dermatology Inc
Authorized official Proctor, Lindsay Jay Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2018
Last updated Feb 6th, 2018 - about 8 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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