Grand Island Dermatology Pc

LBN: Grand Island Dermatology Pc
Grand Island Dermatology Pc is an health care organization with primary practice located at 418 N Webb Rd , Grand Island NE 68803-4045. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Grand Island Dermatology Pc can be contacted via phone (308) 384-9300, or through Sheridan, Patrick L via phone (308) 384-9300.

Contact Information

Primary practice address
418 N Webb Rd Grand Island NE 68803-4045
Fax: (308) 384-4542
Website:
Authorized official contact:
Name: Sheridan, Patrick L

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22426 Nebraska
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 22426 Nebraska

Profile Details

NPI number 1609836535
LBN Legal business name Grand Island Dermatology Pc
DBA Doing business as
Authorized official Sheridan, Patrick L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 21st, 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 1609836535 NPPES
Nebraska Other 01726 BCBS OF NE
Nebraska MEDICAID 10025016800 BCBS OF NE

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