Jordan Valley Dermatology

LBN: Jordan Valley Dermatology
Jordan Valley Dermatology is an health care organization with primary practice located at 428 S Durbin St Ste 103 , Casper WY 82601-2829. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jordan Valley Dermatology can be contacted via phone (307) 234-0003, or through Tubbs, Virginia Louise via phone (307) 265-2936.

Contact Information

Primary practice address
428 S Durbin St Ste 103 Casper WY 82601-2829
Fax: (307) 265-6575
Website:
Authorized official contact:
Name: Tubbs, Virginia Louise Nurse Practitioner (NP)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 8624096-4405 Utah

Profile Details

NPI number 1073954913
LBN Legal business name Jordan Valley Dermatology
DBA Doing business as Jordan Valley Dermatology
Authorized official Tubbs, Virginia Louise Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2013
Last updated Jun 21st, 2019 - about 6 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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