First Capitol Dermatology, L.L.C.

LBN: First Capitol Dermatology, L.L.C.
First Capitol Dermatology, L.L.C. is an health care organization with primary practice located at 901 S. 5Th St. First Capitol Dermatology, L.L.C., St. Charles MO 63301-2416. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. First Capitol Dermatology, L.L.C. can be contacted via phone (636) 916-1300, or through Clever, Henry W. via phone (636) 916-1300.

Contact Information

Primary practice address
901 S. 5Th St. First Capitol Dermatology, L.L.C. St. Charles MO 63301-2416
Phone: (636) 916-1300
Fax: (636) 916-1561
Website:
Map and Directions
Authorized official contact:
Name: Clever, Henry W. Doctor of Medicine (MD)
Phone: (636) 916-1300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X R4P68 Missouri
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X R4P68

Profile Details

NPI number 1730352394
LBN Legal business name First Capitol Dermatology, L.L.C.
DBA Doing business as
Authorized official Clever, Henry W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2008
Last updated Mar 1st, 2017 - about 9 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 1730352394 NPPES
Missouri MEDICAID 203348628

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