Brecksville Dermatology, Inc.

LBN: Brecksville Dermatology, Inc.
Brecksville Dermatology, Inc. is an health care organization with primary practice located at 8751 Brecksville Rd Ste 50 , Brecksville OH 44141-1950. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Brecksville Dermatology, Inc. can be contacted via phone (440) 262-5520, or through Poulos, Georgann via phone (440) 262-5520.

Contact Information

Primary practice address
8751 Brecksville Rd Ste 50 Brecksville OH 44141-1950
Phone: (440) 262-5520
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Poulos, Georgann Doctor of Medicine (MD)
Phone: (440) 262-5520

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35120088 Ohio

Profile Details

NPI number 1770820722
LBN Legal business name Brecksville Dermatology, Inc.
DBA Doing business as
Authorized official Poulos, Georgann Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2013
Last updated Jan 10th, 2013 - about 11 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 1770820722 NPPES
Ohio Other 35120088 OHIO MEDICAL LICENSE

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