Crossroads Dermatology Llc

LBN: Crossroads Dermatology Llc
Crossroads Dermatology Llc is an health care organization with primary practice located at 2350 17Th Ave Ste 100 , Longmont CO 80503-1738. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Crossroads Dermatology Llc can be contacted via phone (720) 204-3376, or through Bair, Sarah Marie via phone (813) 504-6273.

Contact Information

Primary practice address
2350 17Th Ave Ste 100 Longmont CO 80503-1738
Phone: (720) 204-3376
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bair, Sarah Marie Doctor of Medicine (MD)
Phone: (813) 504-6273

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 48408 Colorado

Profile Details

NPI number 1558853846
LBN Legal business name Crossroads Dermatology Llc
DBA Doing business as
Authorized official Bair, Sarah Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2018
Last updated Jun 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558853846 NPPES
Other 1760670863 INDIVIDUAL NPI - SARAH M BAIR
MEDICAID 04440087 INDIVIDUAL NPI - SARAH M BAIR

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