The Dermatology Clinic Pa

LBN: The Dermatology Clinic Pa
The Dermatology Clinic Pa is an health care organization with primary practice located at 1710 Malvern Ave , Hot Springs AR 71901-7132. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. The Dermatology Clinic Pa can be contacted via phone (501) 623-6100, or through Stibich, Adam S via phone (501) 623-6100.

Contact Information

Primary practice address
1710 Malvern Ave Hot Springs AR 71901-7132
Phone: (501) 623-6100
Fax: (501) 623-3403
Website:
Map and Directions
Authorized official contact:
Name: Stibich, Adam S Doctor of Medicine (MD)
Phone: (501) 623-6100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1720611635
LBN Legal business name The Dermatology Clinic Pa
DBA Doing business as
Authorized official Stibich, Adam S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 19th, 2020
Last updated Sep 8th, 2021 - about 5 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 1720611635 NPPES
Arkansas MEDICAID 120956002

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