Divine Dermatology And Surgical Institute, Pllc

LBN: Divine Dermatology And Surgical Institute, Pllc
Divine Dermatology And Surgical Institute, Pllc is an health care organization with primary practice located at 1715 Iron Horse Dr Ste 104 , Longmont CO 80501-9756. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Divine Dermatology And Surgical Institute, Pllc can be contacted via phone (970) 286-2668, or through Divine, Jennifer Michelle via phone (970) 286-2668.

Contact Information

Primary practice address
1715 Iron Horse Dr Ste 104 Longmont CO 80501-9756
Phone: (970) 286-2668
Fax: (970) 294-4954
Website:
Map and Directions
Authorized official contact:
Name: Divine, Jennifer Michelle
Phone: (970) 286-2668

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1962164269
LBN Legal business name Divine Dermatology And Surgical Institute, Pllc
DBA Doing business as
Authorized official Divine, Jennifer Michelle
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 13th, 2021
Last updated Oct 13th, 2021 - about 3 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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