Physician Skin Care

LBN: Physician Skin Care
Physician Skin Care is an health care organization with primary practice located at 730 S Woodruff Ave , Idaho Falls ID 83401-5285. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Physician Skin Care can be contacted via phone (208) 542-9111, or through Bunnage, Candace Marie via phone (208) 542-9111.

Contact Information

Primary practice address
730 S Woodruff Ave Idaho Falls ID 83401-5285
Phone: (208) 542-9111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bunnage, Candace Marie
Phone: (208) 542-9111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2082807848 Idaho

Profile Details

NPI number 1023151156
LBN Legal business name Physician Skin Care
DBA Doing business as
Authorized official Bunnage, Candace Marie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
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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