Skin Holistic Dermagraphic Clinic

LBN: Skin Hdc
Skin Holistic Dermagraphic Clinic is an health care organization with primary practice located at 413 Summit Blvd Unit 104, Broomfield CO 80021-8294. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Skin Hdc can be contacted via phone (303) 440-6611, or through Wolfstar, Gywnn via phone (303) 440-6611.

Contact Information

Primary practice address
413 Summit Blvd Unit 104 Broomfield CO 80021-8294
Phone: (303) 440-6611
Fax: (720) 550-8995
Website:
Map and Directions
Authorized official contact:
Name: Wolfstar, Gywnn RN, BSN, BA
Phone: (303) 440-6611

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0100256 Colorado

Profile Details

NPI number 1417334806
LBN Legal business name Skin Hdc
DBA Doing business as Skin Holistic Dermagraphic Clinic
Authorized official Wolfstar, Gywnn RN, BSN, BA
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2015
Last updated May 5th, 2015 - about 11 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 1417334806 NPPES
Other 12767902 CAQH

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