Advanced Dermatology Care A Professional Medical Corporation
LBN: Advanced Dermatology Care A Professional Medical Corporation
Advanced Dermatology Care A Professional Medical Corporation is an health care organization with primary practice located at 2409 Broadmoor Blvd , Monroe LA 71201-2964. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty.
Advanced Dermatology Care A Professional Medical Corporation can be contacted via phone (318) 323-8799, or through Gremillion, Loretta Pylant via phone (318) 323-8799.
Contact Information
Primary practice address
2409 Broadmoor Blvd
Monroe LA 71201-2964
Phone: (318) 323-8799
Fax: (318) 323-8815
Website:
Authorized official contact:
Name: Gremillion, Loretta Pylant Doctor of Medicine (MD)
Phone: (318) 323-8799
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 026501 | Louisiana |
Profile Details
| NPI number | 1336439553 |
|---|---|
| LBN Legal business name | Advanced Dermatology Care A Professional Medical Corporation |
| DBA Doing business as | |
| Authorized official | Gremillion, Loretta Pylant Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 8th, 2011 |
| Last updated | Jul 12th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336439553 | NPPES |
| Louisiana | MEDICAID | 1059587 |
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