Dermatology And Endocrinology Llc
LBN: Dermatology And Endocrinology Llc
Dermatology And Endocrinology Llc is an health care organization with primary practice located at 1925 E Orman Ave Ste 115, Pueblo CO 81004-3500. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Dermatology And Endocrinology Llc can be contacted via phone (719) 564-4500, or through Dernovsek, Kim K via phone (719) 564-4500.
Contact Information
Primary practice address
1925 E Orman Ave Ste 115
Pueblo CO 81004-3500
Phone: (719) 564-4500
Fax: (719) 564-0304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 26083 | Colorado |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 26084 | Colorado |
Profile Details
| NPI number | 1114999018 |
|---|---|
| LBN Legal business name | Dermatology And Endocrinology Llc |
| DBA Doing business as | |
| Authorized official | Dernovsek, Kim K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jan 11th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114999018 | NPPES |
| Colorado | MEDICAID | 96378352 | |
| Colorado | Other | 1114999018 |
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