Valley Dermatology Clinic,S.C.

LBN: Valley Dermatology Clinic,S.C.
Valley Dermatology Clinic,S.C. is an health care organization with primary practice located at 412 E Longview Dr , Appleton WI 54911-2145. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Valley Dermatology Clinic,S.C. can be contacted via phone (920) 734-6880, or through Faber, John William via phone (920) 734-6880.

Contact Information

Primary practice address
412 E Longview Dr Appleton WI 54911-2145
Phone: (920) 734-6880
Fax: (920) 734-8867
Website:
Map and Directions
Authorized official contact:
Name: Faber, John William Doctor of Medicine (MD)
Phone: (920) 734-6880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1518171503
LBN Legal business name Valley Dermatology Clinic,S.C.
DBA Doing business as
Authorized official Faber, John William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Aug 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518171503 NPPES
Wisconsin MEDICAID 31238800

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