Ic Dermatology, Pc

LBN: Ic Dermatology, Pc
Ic Dermatology, Pc is an health care organization with primary practice located at 269 N 1St Ave Ste 100, Iowa City IA 52245-3616. 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. Ic Dermatology, Pc can be contacted via phone (319) 339-3872, or through Colleran, Erica S via phone (319) 339-3872.

Contact Information

Primary practice address
269 N 1St Ave Ste 100 Iowa City IA 52245-3616
Fax: (319) 339-3874
Website:
Authorized official contact:
Name: Colleran, Erica S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 37357 Iowa
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 37357 Iowa

Profile Details

NPI number 1477806354
LBN Legal business name Ic Dermatology, Pc
DBA Doing business as
Authorized official Colleran, Erica S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2012
Last updated Oct 17th, 2012 - about 12 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 1477806354 NPPES
Iowa Other 1225152374 NPI

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