Azeal Dermatology Institute, Llc
LBN: Azeal Dermatology Institute, Llc
Azeal Dermatology Institute, Llc is an health care organization with primary practice located at 5365 Spine Rd Suite C, Boulder CO 80301-3324. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Azeal Dermatology Institute, Llc can be contacted via phone (303) 530-9325, or through Pilkington, Stacey via phone (303) 530-9325.
Contact Information
Primary practice address
5365 Spine Rd Suite C
Boulder CO 80301-3324
Phone: (303) 530-9325
Fax:
Website:
Authorized official contact:
Name: Pilkington, Stacey Doctor of Osteopathy (DO)
Phone: (303) 530-9325
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
| NPI number | 1003209248 |
|---|---|
| LBN Legal business name | Azeal Dermatology Institute, Llc |
| DBA Doing business as | |
| Authorized official | Pilkington, Stacey Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2015 |
| Last updated | Sep 15th, 2015 - about 9 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 | 1003209248 | NPPES |
| Colorado | MEDICAID | 77885376 |
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