Bon Secours Surgical Dermatology Center
LBN: Bon Secours-St. Mary'S Hospital Of Richmond, Inc.
Bon Secours Surgical Dermatology Center is an health care organization with primary practice located at 5207 Hickory Park Dr Suite A, Glen Allen VA 23059-2624. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Bon Secours-St. Mary'S Hospital Of Richmond, Inc. can be contacted via phone (804) 977-8938, or through Quiriconi, Stephan via phone (804) 281-8301.
Contact Information
Primary practice address
5207 Hickory Park Dr Suite A
Glen Allen VA 23059-2624
Phone: (804) 977-8938
Fax: (804) 762-7102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X |
Profile Details
| NPI number | 1629377221 |
|---|---|
| LBN Legal business name | Bon Secours-St. Mary'S Hospital Of Richmond, Inc. |
| DBA Doing business as | Bon Secours Surgical Dermatology Center |
| Authorized official | Quiriconi, Stephan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2011 |
| Last updated | Aug 30th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629377221 | NPPES |
| Virginia | Other | C06778 | GROUP PTAN |
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