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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063641249 | NPPES |
| Wisconsin | Other | 000017140 | MEDICARE |
| Wisconsin | MEDICAID | 1093044950 | MEDICARE |
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