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
Phone: (308) 384-9300
Fax: (308) 384-4542
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609836535 | NPPES |
| Nebraska | Other | 01726 | BCBS OF NE |
| Nebraska | MEDICAID | 10025016800 | BCBS OF NE |
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