Bay Area Dermatology

LBN: Bay Area Dermatology
Bay Area Dermatology is an health care organization with primary practice located at 999 Sixth St , Traverse City MI 49684-2301. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bay Area Dermatology can be contacted via phone (231) 941-4114, or through Simons, James J via phone (231) 941-4114.

Contact Information

Primary practice address
999 Sixth St Traverse City MI 49684-2301
Phone: (231) 941-4114
Fax: (231) 941-0878
Website:
Map and Directions
Authorized official contact:
Name: Simons, James J
Phone: (231) 941-4114

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301039948 Michigan

Profile Details

NPI number 1306082755
LBN Legal business name Bay Area Dermatology
DBA Doing business as
Authorized official Simons, James J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2009
Last updated Jan 6th, 2009 - about 17 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 1306082755 NPPES
Michigan MEDICAID 2114154

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