Dermassociates Ltd

LBN: Dermassociates Ltd
Dermassociates Ltd is an health care organization with primary practice located at 3608 W Main St , Belleville IL 62226-6225. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dermassociates Ltd can be contacted via phone (618) 397-6605, or through Vicik, Gary John via phone (618) 397-6605.

Contact Information

Primary practice address
3608 W Main St Belleville IL 62226-6225
Phone: (618) 397-6605
Fax: (618) 277-1251
Website:
Map and Directions
Authorized official contact:
Name: Vicik, Gary John Doctor of Medicine (MD)
Phone: (618) 397-6605

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36-49185 Illinois

Profile Details

NPI number 1942273974
LBN Legal business name Dermassociates Ltd
DBA Doing business as
Authorized official Vicik, Gary John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2006
Last updated Aug 22nd, 2020 - 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 1942273974 NPPES
Other 42561V34432 ADVANTRA
Other 101263 ADVANTRA
Other 11512 ADVANTRA
Other 202982 ADVANTRA
Other 42561V34432 ADVANTRA
Other 0778106 ADVANTRA
Other 8215117 ADVANTRA
Other STL0307017 ADVANTRA

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