Advanced Alpine Dermatology Prof Llc

LBN: Advanced Alpine Dermatology Prof Llc
Advanced Alpine Dermatology Prof Llc is an health care organization with primary practice located at 1136 Alpine Ave Suite 310, Boulder CO 80304-3405. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Advanced Alpine Dermatology Prof Llc can be contacted via phone (303) 449-3500, or through Bachmann, Peter via phone (303) 449-3500.

Contact Information

Primary practice address
1136 Alpine Ave Suite 310 Boulder CO 80304-3405
Phone: (303) 449-3500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bachmann, Peter Doctor of Medicine (MD)
Phone: (303) 449-3500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 42483 Colorado

Profile Details

NPI number 1225295199
LBN Legal business name Advanced Alpine Dermatology Prof Llc
DBA Doing business as
Authorized official Bachmann, Peter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2008
Last updated May 19th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225295199 NPPES
Colorado MEDICAID 98428721

Popular Providers