Ascend Dermatology
LBN: Great Lakes Dermatology Sc
Ascend Dermatology is an health care organization with primary practice located at 6233 Bankers Rd Suite 3, Mount Pleasant WI 53403-9700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Great Lakes Dermatology Sc can be contacted via phone (262) 898-4400, or through Olson, Kristy K via phone (262) 989-4400.
Contact Information
Primary practice address
6233 Bankers Rd Suite 3
Mount Pleasant WI 53403-9700
Phone: (262) 898-4400
Fax: (262) 898-4423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X |
Profile Details
| NPI number | 1851467047 |
|---|---|
| LBN Legal business name | Great Lakes Dermatology Sc |
| DBA Doing business as | Ascend Dermatology |
| Authorized official | Olson, Kristy K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | May 26th, 2015 - about 11 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 | 1851467047 | NPPES |
| Wisconsin | MEDICAID | CH7592 |
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