Fox Valley Dermatology Sc

LBN: Fox Valley Dermatology Sc
Fox Valley Dermatology Sc is an health care organization with primary practice located at 515 S Washburn St Suite 204, Oshkosh WI 54904-7975. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Fox Valley Dermatology Sc can be contacted via phone (920) 232-1130, or through Lenz, Heather via phone (920) 426-2211.

Contact Information

Primary practice address
515 S Washburn St Suite 204 Oshkosh WI 54904-7975
Phone: (920) 232-1130
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lenz, Heather
Phone: (920) 426-2211

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 42905020 Wisconsin

Profile Details

NPI number 1316951213
LBN Legal business name Fox Valley Dermatology Sc
DBA Doing business as
Authorized official Lenz, Heather
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1316951213 NPPES
Wisconsin MEDICAID 34045300

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