Three Rivers Dermatology

LBN: Three Rivers Dermatology, Llc
Three Rivers Dermatology is an health care organization with primary practice located at 5650 Coventry Ln , Fort Wayne IN 46804-7140. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Three Rivers Dermatology, Llc can be contacted via phone (260) 436-9696, or through Sassmannshausen, Jeffrey Walter via phone (260) 436-9696.

Contact Information

Primary practice address
5650 Coventry Ln Fort Wayne IN 46804-7140
Phone: (260) 436-9696
Fax: (260) 436-9424
Website:
Map and Directions
Authorized official contact:
Name: Sassmannshausen, Jeffrey Walter Doctor of Medicine (MD)
Phone: (260) 436-9696

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1992991475
LBN Legal business name Three Rivers Dermatology, Llc
DBA Doing business as Three Rivers Dermatology
Authorized official Sassmannshausen, Jeffrey Walter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2007
Last updated Jun 12th, 2020 - about 6 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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