Boone Dermatology Clinic

LBN: Boone Dermatology Clinic
Boone Dermatology Clinic is an health care organization with primary practice located at 169 Birch St , Boone NC 28607-5069. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Boone Dermatology Clinic can be contacted via phone (828) 264-4553, or through Stanley, Ronald J via phone (828) 264-4553.

Contact Information

Primary practice address
169 Birch St Boone NC 28607-5069
Phone: (828) 264-4553
Fax: (828) 262-3649
Website:
Map and Directions
Authorized official contact:
Name: Stanley, Ronald J Doctor of Medicine (MD)
Phone: (828) 264-4553

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 18060 North Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25707 North Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 200000665 North Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 200500862 North Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 39986 North Carolina

Profile Details

NPI number 1417913260
LBN Legal business name Boone Dermatology Clinic
DBA Doing business as
Authorized official Stanley, Ronald J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2006
Last updated Apr 13th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417913260 NPPES
North Carolina Other 01404 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 8901404 BLUE CROSS BLUE SHIELD

Popular Providers