Mountain West Derm - Blackhart Pllc

LBN: Mountain West Derm - Blackhart Pllc
Mountain West Derm - Blackhart Pllc is an health care organization with primary practice located at 341 Nw Medical Loop Ste 110 , Roseburg OR 97471-5546. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Mountain West Derm - Blackhart Pllc can be contacted via phone (541) 440-2165, or through Shackelton, Jeffrey B via phone (775) 283-4086.

Contact Information

Primary practice address
341 Nw Medical Loop Ste 110 Roseburg OR 97471-5546
Phone: (541) 440-2165
Fax: (541) 440-8932
Website:
Map and Directions
Authorized official contact:
Name: Shackelton, Jeffrey B Doctor of Medicine (MD)
Phone: (775) 283-4086

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1891467577
LBN Legal business name Mountain West Derm - Blackhart Pllc
DBA Doing business as
Authorized official Shackelton, Jeffrey B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2021
Last updated Oct 4th, 2021 - about 5 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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