Clinic For Dermatology & Wellness Llc

LBN: Clinic For Dermatology & Wellness Llc
Clinic For Dermatology & Wellness Llc is an health care organization with primary practice located at 2924 Siskiyou Blvd Ste 200 , Medford OR 97504-6462. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Clinic For Dermatology & Wellness Llc can be contacted via phone (541) 200-2793, or through Atzenbeck, Joseph John via phone (541) 200-2777.

Contact Information

Primary practice address
2924 Siskiyou Blvd Ste 200 Medford OR 97504-6462
Phone: (541) 200-2793
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Atzenbeck, Joseph John
Phone: (541) 200-2777

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1467908863
LBN Legal business name Clinic For Dermatology & Wellness Llc
DBA Doing business as
Authorized official Atzenbeck, Joseph John
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2016
Last updated Jun 19th, 2021 - about 3 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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