Skin Care Doctors, P.A.

LBN: Skin Care Doctors, P.A.
Skin Care Doctors, P.A. is an health care organization with primary practice located at 14000 Nicollet Ave Ste 304 , Burnsville MN 55337-5784. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Skin Care Doctors, P.A. can be contacted via phone (952) 898-1600, or through Ebertz, Michael J via phone (952) 898-1600.

Contact Information

Primary practice address
14000 Nicollet Ave Ste 304 Burnsville MN 55337-5784
Fax: (952) 898-2645
Website:
Authorized official contact:
Name: Ebertz, Michael J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X Minnesota

Profile Details

NPI number 1851516397
LBN Legal business name Skin Care Doctors, P.A.
DBA Doing business as
Authorized official Ebertz, Michael J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 15th, 2013 - about 13 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 1851516397 NPPES
Minnesota Other C02848 MEDICARE PTAN
Minnesota Other CH6529 MEDICARE PTAN
Minnesota Other 57238 MEDICARE PTAN
Minnesota Other E180 MEDICARE PTAN
Minnesota Other 09G0SK MEDICARE PTAN

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