Dermatology Center For Children & Young Adults Pa
LBN: Dermatology Center For Children & Young Adults Pa
Dermatology Center For Children & Young Adults Pa is an health care organization with primary practice located at 2795 Pilot Knob Rd Suite 300, Eagan MN 55121-1176. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Dermatology, which is considered as the primary health care specialty.
Dermatology Center For Children & Young Adults Pa can be contacted via phone (651) 379-9999, or through Bloom, Kenneth E via phone (651) 379-9999.
Contact Information
Primary practice address
2795 Pilot Knob Rd Suite 300
Eagan MN 55121-1176
Phone: (651) 379-9999
Fax: (651) 379-9900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | Minnesota |
Profile Details
| NPI number | 1053417055 |
|---|---|
| LBN Legal business name | Dermatology Center For Children & Young Adults Pa |
| DBA Doing business as | |
| Authorized official | Bloom, Kenneth E Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Apr 20th, 2008 - about 17 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 | 1053417055 | NPPES |
| Other | 2M741DE | BLUE CROSS BLUE SHIELD | |
| MEDICAID | 013837 | BLUE CROSS BLUE SHIELD |
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