Advanced Dermatology

LBN: Israel Fernando Md
Advanced Dermatology is an health care organization with primary practice located at 825 N 6Th St , Burlington IA 52601-4920. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Israel Fernando Md can be contacted via phone (319) 754-9028, or through Fernando, Israel V via phone (309) 797-3713.

Contact Information

Primary practice address
825 N 6Th St Burlington IA 52601-4920
Phone: (319) 754-9028
Fax: (319) 754-9038
Website:
Map and Directions
Authorized official contact:
Name: Fernando, Israel V Doctor of Medicine (MD)
Phone: (309) 797-3713

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1063461671
LBN Legal business name Israel Fernando Md
DBA Doing business as Advanced Dermatology
Authorized official Fernando, Israel V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1063461671 NPPES
Iowa MEDICAID 0268292

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