Base Dermatology, Pc
LBN: Base Dermatology, Pc
Base Dermatology, Pc is an health care organization with primary practice located at 26400 W 12 Mile Rd Ste 180 , Southfield MI 48034-1785. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Base Dermatology, Pc can be contacted via phone (248) 355-5047, or through Sofen, Bryan via phone (248) 563-2489.
Contact Information
Primary practice address
26400 W 12 Mile Rd Ste 180
Southfield MI 48034-1785
Phone: (248) 355-5047
Fax: (248) 355-3511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X |
Profile Details
| NPI number | 1902672652 |
|---|---|
| LBN Legal business name | Base Dermatology, Pc |
| DBA Doing business as | |
| Authorized official | Sofen, Bryan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2023 |
| Last updated | Dec 4th, 2023 - about last year |
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 | 1902672652 | NPPES |
| Michigan | Other | 1043452139 | PERSONAL NPI |
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