Blue Ridge Dermatology Pa

LBN: Blue Ridge Dermatology Pa
Blue Ridge Dermatology Pa is an health care organization with primary practice located at 540 Hospital Dr , Clyde NC 28721-8027. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Blue Ridge Dermatology Pa can be contacted via phone (828) 456-7343, or through Masters, Michael Jason via phone (828) 456-7343.

Contact Information

Primary practice address
540 Hospital Dr Clyde NC 28721-8027
Phone: (828) 456-7343
Fax: (828) 452-0939
Website:
Map and Directions
Authorized official contact:
Name: Masters, Michael Jason Doctor of Medicine (MD)
Phone: (828) 456-7343

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1821083551
LBN Legal business name Blue Ridge Dermatology Pa
DBA Doing business as
Authorized official Masters, Michael Jason Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2005
Last updated Aug 22nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821083551 NPPES
Other 0122K BLUE CROSS BLUE SHIELD
MEDICAID 890122K BLUE CROSS BLUE SHIELD

Popular Providers