Forefront Dermatology, S.C.

LBN: Forefront Dermatology, S.C.
Forefront Dermatology, S.C. is an health care organization with primary practice located at 1620 N Shawano St Suite C, New London WI 54961. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Forefront Dermatology, S.C. can be contacted via phone (920) 982-3870, or through Wernli, Betsy J via phone (920) 482-0671.

Contact Information

Primary practice address
1620 N Shawano St Suite C New London WI 54961
Phone: (920) 982-3870
Fax: (920) 982-3697
Website:
Map and Directions
Authorized official contact:
Name: Wernli, Betsy J Doctor of Medicine (MD)
Phone: (920) 482-0671

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1063641249
LBN Legal business name Forefront Dermatology, S.C.
DBA Doing business as
Authorized official Wernli, Betsy J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2009
Last updated May 17th, 2018 - about 6 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 1063641249 NPPES
Wisconsin Other 000017140 MEDICARE
Wisconsin MEDICAID 1093044950 MEDICARE

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