St Louis Dermatology Llc

LBN: St Louis Dermatology Llc
St Louis Dermatology Llc is an health care organization with primary practice located at 1011 Bowles Avenue Suite 121, Fenton MO 63026-2387. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. St Louis Dermatology Llc can be contacted via phone (314) 200-2713, or through Petersen, Jeffrey E via phone (314) 200-2713.

Contact Information

Primary practice address
1011 Bowles Avenue Suite 121 Fenton MO 63026-2387
Phone: (314) 200-2713
Fax: (314) 200-2714
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Jeffrey E Doctor of Medicine (MD)
Phone: (314) 200-2713

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2001020599 Missouri

Profile Details

NPI number 1760810543
LBN Legal business name St Louis Dermatology Llc
DBA Doing business as
Authorized official Petersen, Jeffrey E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2013
Last updated Feb 18th, 2014 - about 12 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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