Dermatology Specialists, Psc
LBN: Dermatology Specialists, Psc
Dermatology Specialists, Psc is an health care organization with primary practice located at 501 S 2Nd St First Floor, Louisville KY 40202-2862. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Dermatology Specialists, Psc can be contacted via phone (502) 583-7546, or through Jackson, J. Mark via phone (502) 583-7546.
Contact Information
Primary practice address
501 S 2Nd St First Floor
Louisville KY 40202-2862
Phone: (502) 583-7546
Fax: (502) 589-3429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | Kentucky |
Profile Details
| NPI number | 1013069301 |
|---|---|
| LBN Legal business name | Dermatology Specialists, Psc |
| DBA Doing business as | |
| Authorized official | Jackson, J. Mark Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jan 17th, 2014 - about 10 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 | 1013069301 | NPPES |
| Other | CA7485 | RRR MEDICARE | |
| MEDICAID | 200044790B | RRR MEDICARE | |
| Other | 2433273000 | RRR MEDICARE | |
| Other | 1052384 | RRR MEDICARE |
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