Radiant Dermatology Associates Llc

LBN: Radiant Dermatology Associates Llc
Radiant Dermatology Associates Llc is an health care organization with primary practice located at 722 E Till Rd Ste 102 , Fort Wayne IN 46825-2066. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Radiant Dermatology Associates Llc can be contacted via phone (260) 487-4065, or through Spearman, Dara via phone (260) 487-4065.

Contact Information

Primary practice address
722 E Till Rd Ste 102 Fort Wayne IN 46825-2066
Phone: (260) 487-4065
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Spearman, Dara Doctor of Medicine (MD)
Phone: (260) 487-4065

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1720790330
LBN Legal business name Radiant Dermatology Associates Llc
DBA Doing business as
Authorized official Spearman, Dara Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2022
Last updated Dec 15th, 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.

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