Dermatology Center Of Southern Indiana, P.C.

LBN: Dermatology Center Of Southern Indiana, P.C.
Dermatology Center Of Southern Indiana, P.C. is an health care organization with primary practice located at 1200 S Rogers St , Bloomington IN 47403-4792. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dermatology Center Of Southern Indiana, P.C. can be contacted via phone (812) 339-6434, or through Mctigue, Mary Kathleen via phone (812) 339-6434.

Contact Information

Primary practice address
1200 S Rogers St Bloomington IN 47403-4792
Phone: (812) 339-6434
Fax: (812) 331-0196
Website:
Map and Directions
Authorized official contact:
Name: Mctigue, Mary Kathleen Doctor of Medicine (MD)
Phone: (812) 339-6434

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1659451755
LBN Legal business name Dermatology Center Of Southern Indiana, P.C.
DBA Doing business as
Authorized official Mctigue, Mary Kathleen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Apr 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659451755 NPPES
Indiana MEDICAID 100182850

Popular Providers