Deja Vu Skin & Health Center
LBN: Clovis E. Manley, Md Llc
Deja Vu Skin & Health Center is an health care organization with primary practice located at 4943 Rosebud Ln , Newburgh IN 47630-9226. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Clovis E. Manley, Md Llc can be contacted via phone (812) 471-8195, or through Manley, Clovis E. via phone (812) 490-9462.
Contact Information
Primary practice address
4943 Rosebud Ln
Newburgh IN 47630-9226
Phone: (812) 471-8195
Fax: (812) 490-1060
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01036788 | Indiana |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 71001387A | Indiana |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 71001874A | Indiana |
Profile Details
NPI number | 1972782662 |
---|---|
LBN Legal business name | Clovis E. Manley, Md Llc |
DBA Doing business as | Deja Vu Skin & Health Center |
Authorized official | Manley, Clovis E. Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 30th, 2007 |
Last updated | Feb 19th, 2024 - about 9 months 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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