Bovenmyer Dermatology Pc

LBN: Bovenmyer Dermatology Pc
Bovenmyer Dermatology Pc is an health care organization with primary practice located at 3319 Spring St Suite 102, Davenport IA 52807-2125. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Bovenmyer Dermatology Pc can be contacted via phone (563) 359-1671, or through Bovenmyer, John Allen via phone (563) 359-1671.

Contact Information

Primary practice address
3319 Spring St Suite 102 Davenport IA 52807-2125
Phone: (563) 359-1671
Fax: (563) 359-7813
Website:
Map and Directions
Authorized official contact:
Name: Bovenmyer, John Allen Doctor of Medicine (MD)
Phone: (563) 359-1671

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1477621761
LBN Legal business name Bovenmyer Dermatology Pc
DBA Doing business as
Authorized official Bovenmyer, John Allen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2006
Last updated Oct 1st, 2008 - about 16 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 1477621761 NPPES
Iowa MEDICAID 0132878
Iowa Other CA9935
Iowa Other 0344

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