Heidelberg Dermatology, P.C.

LBN: Heidelberg Dermatology, P.C.
Heidelberg Dermatology, P.C. is an health care organization with primary practice located at 20400 Livernois Ave , Detroit MI 48221-1348. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Heidelberg Dermatology, P.C. can be contacted via phone (313) 341-4514, or through Heidelberg, Karen A. via phone (313) 864-3766.

Contact Information

Primary practice address
20400 Livernois Ave Detroit MI 48221-1348
Phone: (313) 341-4514
Fax: (313) 341-2152
Website:
Map and Directions
Authorized official contact:
Name: Heidelberg, Karen A. Doctor of Medicine (MD)
Phone: (313) 864-3766

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301066952 Michigan

Profile Details

NPI number 1124045075
LBN Legal business name Heidelberg Dermatology, P.C.
DBA Doing business as
Authorized official Heidelberg, Karen A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Dec 2nd, 2015 - about 9 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 1124045075 NPPES
Michigan Other 0H28011 BLUE CROSS SHIELD MICHIGA

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