Riverside Dermatology & Spa Llc

LBN: Riverside Dermatology & Spa Llc
Riverside Dermatology & Spa Llc is an health care organization with primary practice located at 163 Medical Dr , Hannibal MO 63401-6884. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Riverside Dermatology & Spa Llc can be contacted via phone (573) 822-4428, or through Cooke, Linda via phone (573) 822-3328.

Contact Information

Primary practice address
163 Medical Dr Hannibal MO 63401-6884
Phone: (573) 822-4428
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cooke, Linda Doctor of Medicine (MD)
Phone: (573) 822-3328

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1699262329
LBN Legal business name Riverside Dermatology & Spa Llc
DBA Doing business as
Authorized official Cooke, Linda Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2018
Last updated Apr 18th, 2018 - about 8 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.

Request for update

Popular Providers