Indyderm Llc

LBN: Indyderm Llc
Indyderm Llc is an health care organization with primary practice located at 521 E County Line Rd Ste E , Greenwood IN 46143-1066. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty. Indyderm Llc can be contacted via phone (317) 215-0928, or through Keller, Emily via phone (317) 215-0928.

Contact Information

Primary practice address
521 E County Line Rd Ste E Greenwood IN 46143-1066
Phone: (317) 215-0928
Fax: (317) 743-8148
Website:
Map and Directions
Authorized official contact:
Name: Keller, Emily Doctor of Medicine (MD)
Phone: (317) 215-0928

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 01072313A Indiana

Profile Details

NPI number 1497105191
LBN Legal business name Indyderm Llc
DBA Doing business as
Authorized official Keller, Emily Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2016
Last updated Feb 19th, 2024 - about last year

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 1497105191 NPPES
Indiana MEDICAID 08029326

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