Comprehensive Dermatology Of Idaho, Pllc
LBN: Comprehensive Dermatology Of Idaho, Pllc
Comprehensive Dermatology Of Idaho, Pllc is an health care organization with primary practice located at 16111 N Brinson St Ste 100 , Nampa ID 83687-5509. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Comprehensive Dermatology Of Idaho, Pllc can be contacted via phone (208) 467-7546, or through Owsley, Ryan Scott via phone (208) 467-7546.
Contact Information
Primary practice address
16111 N Brinson St Ste 100
Nampa ID 83687-5509
Phone: (208) 467-7546
Fax: (208) 467-7500
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M8483 | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA280 | Idaho |
Profile Details
NPI number | 1386921294 |
---|---|
LBN Legal business name | Comprehensive Dermatology Of Idaho, Pllc |
DBA Doing business as | |
Authorized official | Owsley, Ryan Scott Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 5th, 2011 |
Last updated | Dec 23rd, 2019 - about 5 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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