901 Skinmd Pllc

LBN: 901 Skinmd Pllc
901 Skinmd Pllc is an health care organization with primary practice located at 751 Walnut Knoll Lane Suite 2, Cordova TN 38018-6301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. 901 Skinmd Pllc can be contacted via phone (781) 467-8632, or through Bieniek, Radoslaw via phone (781) 467-8632.

Contact Information

Primary practice address
751 Walnut Knoll Lane Suite 2 Cordova TN 38018-6301
Phone: (781) 467-8632
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bieniek, Radoslaw Doctor of Medicine (MD)
Phone: (781) 467-8632

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1346719085
LBN Legal business name 901 Skinmd Pllc
DBA Doing business as
Authorized official Bieniek, Radoslaw Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2018
Last updated May 18th, 2023 - about last year

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 1346719085 NPPES
Other 1083853006 NPPES

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