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:
Map and Directions
Authorized official contact:
Name: Icaza, Ramiro Doctor of Medicine (MD)
Phone: (573) 243-2154

Health care specialties

SpecialtyCodeLicense #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 5 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 1790818599 NPPES
Missouri MEDICAID 593695703

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