Protean Dermatology Consulting, Llc

LBN: Protean Dermatology Consulting, Llc
Protean Dermatology Consulting, Llc is an health care organization with primary practice located at 360 Sw Bond St Ste 310 , Bend OR 97702-3556. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Protean Dermatology Consulting, Llc can be contacted via phone (855) 457-5593, or through Jackson, John E via phone (855) 457-5593.

Contact Information

Primary practice address
360 Sw Bond St Ste 310 Bend OR 97702-3556
Phone: (855) 457-5593
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, John E Doctor of Medicine (MD)
Phone: (855) 457-5593

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1326864059
LBN Legal business name Protean Dermatology Consulting, Llc
DBA Doing business as
Authorized official Jackson, John E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2024
Last updated Nov 26th, 2024 - about 2 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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