Dermatology Centre Of Northeast Ohio, Llc

LBN: Dermatology Centre Of Northeast Ohio, Llc
Dermatology Centre Of Northeast Ohio, Llc is an health care organization with primary practice located at 960 Windham Ct Suite 2, Youngstown OH 44512. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dermatology Centre Of Northeast Ohio, Llc can be contacted via phone (330) 758-8866, or through Stilson, Terri L via phone (330) 758-8866.

Contact Information

Primary practice address
960 Windham Ct Suite 2 Youngstown OH 44512
Phone: (330) 758-8866
Fax: (330) 758-4051
Website:
Map and Directions
Authorized official contact:
Name: Stilson, Terri L
Phone: (330) 758-8866

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35059099 Ohio

Profile Details

NPI number 1063565513
LBN Legal business name Dermatology Centre Of Northeast Ohio, Llc
DBA Doing business as
Authorized official Stilson, Terri L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
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 1063565513 NPPES
Ohio MEDICAID 0784594

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