Affiliated Dermatologists

LBN: Affiliated Dermatologists
Affiliated Dermatologists is an health care organization with primary practice located at N96W17035 Division Rd Suite A, Germantown WI 53022-6419. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Affiliated Dermatologists can be contacted via phone (262) 754-4488, or through Russell, James P via phone (262) 754-4488.

Contact Information

Primary practice address
N96W17035 Division Rd Suite A Germantown WI 53022-6419
Fax: (262) 754-4940
Website:
Authorized official contact:
Name: Russell, James P Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Wisconsin

Profile Details

NPI number 1902205206
LBN Legal business name Affiliated Dermatologists
DBA Doing business as
Authorized official Russell, James P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2014
Last updated May 28th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902205206 NPPES
Wisconsin Other 1407849011 BILLING NPI NUMBER

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