Advanced Dermatology Of North Central Ohio Inc
LBN: Advanced Dermatology Of North Central Ohio Inc
Advanced Dermatology Of North Central Ohio Inc is an health care organization with primary practice located at 770 Balgreen Dr Ste 201, Mansfield OH 44906-4106. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is the primary health care specialty.
Advanced Dermatology Of North Central Ohio Inc can be contacted via phone (419) 756-1600, or through Ticoras, Christ John via phone (419) 756-1600.
Contact Information
Primary practice address
770 Balgreen Dr Ste 201
Mansfield OH 44906-4106
Phone: (419) 756-1600
Fax: (419) 775-1196
Website:
Authorized official contact:
Name: Ticoras, Christ John Doctor of Medicine (MD)
Phone: (419) 756-1600
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 35063717T | Ohio |
Profile Details
| NPI number | 1073528733 |
|---|---|
| LBN Legal business name | Advanced Dermatology Of North Central Ohio Inc |
| DBA Doing business as | Advanced Dermatology Of North Central Ohio Inc |
| Authorized official | Ticoras, Christ John Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Aug 21st, 2012 - about 13 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 | 1073528733 | NPPES |
| Ohio | MEDICAID | 2251316 |
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