Dermatology Clinic A Professional Medical Corporation
LBN: Dermatology Clinic A Professional Medical Corporation
Dermatology Clinic A Professional Medical Corporation is an health care organization with primary practice located at 5326 O'Donovan Drive , Baton Rouge LA 70808-9153. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Dermatology Clinic A Professional Medical Corporation can be contacted via phone (225) 769-7546, or through Burglass, Harry A via phone (225) 769-7546.
Contact Information
Primary practice address
5326 O'Donovan Drive
Baton Rouge LA 70808-9153
Phone: (225) 769-7546
Fax: (225) 769-0471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X |
Profile Details
| NPI number | 1972591170 |
|---|---|
| LBN Legal business name | Dermatology Clinic A Professional Medical Corporation |
| DBA Doing business as | |
| Authorized official | Burglass, Harry A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Apr 4th, 2008 - about 16 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 | 1972591170 | NPPES |
| Louisiana | MEDICAID | 1113247 |
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