Rutherford Dermatology, Pa

LBN: Rutherford Dermatology, Pa
Rutherford Dermatology, Pa is an health care organization with primary practice located at 651 Withrow Rd , Forest City NC 28043-9695. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Rutherford Dermatology, Pa can be contacted via phone (828) 288-1204, or through Selsor, Linda Carol via phone (828) 288-1204.

Contact Information

Primary practice address
651 Withrow Rd Forest City NC 28043-9695
Fax: (828) 288-1205
Website:
Authorized official contact:
Name: Selsor, Linda Carol Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1366539041
LBN Legal business name Rutherford Dermatology, Pa
DBA Doing business as
Authorized official Selsor, Linda Carol Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Nov 2nd, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366539041 NPPES
North Carolina MEDICAID 89011RP

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