Advanced Dermatology Of The Black Hills, Pc
LBN: Advanced Dermatology Of The Black Hills, Pc
Advanced Dermatology Of The Black Hills, Pc is an health care organization with primary practice located at 710 Saint Anne St , Rapid City SD 57701-4670. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is the primary health care specialty.
Advanced Dermatology Of The Black Hills, Pc can be contacted via phone (605) 343-8000, or through Medeck, Jonathan Dean via phone (605) 381-6082.
Contact Information
Primary practice address
710 Saint Anne St
Rapid City SD 57701-4670
Phone: (605) 343-8000
Fax: (605) 343-8262
Website:
Authorized official contact:
Name: Medeck, Jonathan Dean Physician's Assistant Certified (PA-C)
Phone: (605) 381-6082
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1669125241 |
|---|---|
| LBN Legal business name | Advanced Dermatology Of The Black Hills, Pc |
| DBA Doing business as | |
| Authorized official | Medeck, Jonathan Dean Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 2nd, 2022 |
| Last updated | Feb 2nd, 2022 - about 3 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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