C/O Ramiro Icaza
LBN: Alliance Health & Dermatology
C/O Ramiro Icaza is an health care organization with primary practice located at 304 S Mount Auburn Rd , Cape Girardeau MO 63703-4920. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Alliance Health & Dermatology can be contacted via phone (573) 803-3331, or through Icaza, Ramiro via phone (573) 243-2154.
Contact Information
Primary practice address
304 S Mount Auburn Rd
Cape Girardeau MO 63703-4920
Phone: (573) 803-3331
Fax: (573) 803-2905
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MDR7D79 | Missouri |
Profile Details
NPI number | 1790818599 |
---|---|
LBN Legal business name | Alliance Health & Dermatology |
DBA Doing business as | C/O Ramiro Icaza |
Authorized official | Icaza, Ramiro Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 13th, 2007 |
Last updated | Feb 6th, 2020 - about 4 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 | 1790818599 | NPPES |
Missouri | MEDICAID | 593695703 |
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