Glass Dermatology Pllc
LBN: Glass Dermatology Pllc
Glass Dermatology Pllc is an health care organization with primary practice located at 412 E Johnson St , Clinton NC 28328-2806. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty.
Glass Dermatology Pllc can be contacted via phone (910) 490-1240, or through Glass, Alexandria B via phone (910) 990-7722.
Contact Information
Primary practice address
412 E Johnson St
Clinton NC 28328-2806
Phone: (910) 490-1240
Fax: (910) 490-1260
Website:
Authorized official contact:
Name: Glass, Alexandria B Doctor of Osteopathy (DO)
Phone: (910) 990-7722
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X |
Profile Details
NPI number | 1184299034 |
---|---|
LBN Legal business name | Glass Dermatology Pllc |
DBA Doing business as | |
Authorized official | Glass, Alexandria B Doctor of Osteopathy (DO) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 24th, 2021 |
Last updated | Mar 4th, 2022 - about 2 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 | 1184299034 | NPPES |
North Carolina | Other | 202101095 | NC MEDICAL LICENSE |
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